# entry[].resource.text.div
Answer Expression Demonstration - Selecting Language in various ways

Status: Active
Publisher: DEMO: HL7 International - SDC

# entry[].resource.extension[].extension[].valueString
The patient that is to be used to pre-populate the form, and provide context for variable based expressions

# entry[].resource.title
Answer Expression Demonstration - Selecting Language in various ways

# entry[].resource.item[].item[].text
Each of the questions in this section leverage different techniques for selecting possible values for the options

# entry[].resource.item[].item[]._text.extension[].valueMarkdown
**Each of the questions in this section leverage different techniques for selecting possible values for the options**

# entry[].resource.item[].item[].text
Locally defined codings - no terminology server

# entry[].resource.item[].item[]._text.extension[].valueMarkdown
_Locally defined codings - no terminology server_

# entry[].resource.item[].item[].text
contained ValueSet with included expansion - no terminology server

# entry[].resource.item[].item[]._text.extension[].valueMarkdown
_contained ValueSet with included expansion - no terminology server_

# entry[].resource.item[].item[].text
Canonical Vaueset Reference (no version) - not terminology server specific

# entry[].resource.item[].item[]._text.extension[].valueMarkdown
_Canonical Vaueset Reference (no version) - not terminology server specific_

# entry[].resource.item[].item[].text
language (valueset canonical - no version)

# entry[].resource.item[].item[].text
Canonical Vaueset Reference (version specific) - not terminology server specific

# entry[].resource.item[].item[]._text.extension[].valueMarkdown
_Canonical Vaueset Reference (version specific) - not terminology server specific_

# entry[].resource.item[].item[].text
language (valueset canonical - with version - 3.0.2)

# entry[].resource.item[].item[].text
Canonical Valueset Reference (no version) - preferred terminology server

# entry[].resource.item[].item[]._text.extension[].valueMarkdown
_Canonical Valueset Reference (no version) - preferred terminology server_

# entry[].resource.item[].item[].text
language (valueset canonical - preferred server - ontoserver)

# entry[].resource.item[].item[].text
language (valueset canonical - preferred server - ontoserver)

# entry[].resource.item[].item[].text
Options from a coding expanded using a fhir query, and a fhirpath expression. Useful when the expression is effected by other values on the form

# entry[].resource.item[].item[]._text.extension[].valueMarkdown
_Options from a coding expanded using a fhir query, and a fhirpath expression. Useful when the expression is effected by other values on the form_

# entry[].resource.item[].item[].extension[].valueExpression.description
Variable to hold the results of the expansion

# entry[].resource.item[].item[].extension[].valueExpression.description
select the coded values from the expansion results in the above expression

# entry[].resource.item[].item[].text
Options read from the launch context (Context Patient's known languages)

# entry[].resource.item[].item[]._text.extension[].valueMarkdown
_Languages extracted from the patient in the launch context_

# entry[].resource.item[].item[].text
Explicit Vaueset Reference - URL direct to the valueset on a specific terminology server

# entry[].resource.item[].item[]._text.extension[].valueMarkdown
_Explicit Vaueset Reference (STU3/DSTU2 old style reference - not conformant with R4, but testing backward compatibility error handling)_

# entry[].resource.text.div
Bit of everything

Status: Active
Publisher: DEMO: Telstra Health

# entry[].resource.text.div
Argonaut Questionnaire Sampler

Publisher: Argonaut Project

# entry[].resource.copyright
You can copy, modify, distribute and perform the work, even for commercial purposes, all without asking permission.

# entry[].resource.item[].item[].text
The Argonaut Questionnaire Sampler is designed to show all the question types that can be used in the Argonaut Questionnaire Project:

1 boolean
2 decimal
3 integer
4 dateDate
5 dateTime
6 timeTime
7 string
8 textText
9 urlUrl
10 choice
11 open-choice
12 quantity

# entry[].resource.item[].item[].text
Check the box if the following statement is true.  The average air speed velocity of a laden European swallow is greater than a laden African swallow.

# entry[].resource.item[].item[].text
What is the average air speed velocity of a laden swallow in m/sec?

# entry[].resource.item[].item[].text
What is the average air speed velocity of a laden swallow in m/sec?

# entry[].resource.item[].item[].text
If a laden swallow left Camelot on 7/5/2018 what day would it reach the Castle Anthrax?

# entry[].resource.item[].item[].text
If a laden swallow left Camelot on 7/5/2018 and noon when would it reach Castle Anthrax?

# entry[].resource.item[].item[].text
If a laden swallow left Camelot at noon what time would it reach Castle Anthrax?

# entry[].resource.item[].item[].text
Describe how to estimate the average air speed velocity of a laden swallow in 20 words or less.

# entry[].resource.item[].item[].text
Describe in detal how to estimate the average air speed velocity of a laden swallow. Please cite your sources and give examples.

# entry[].resource.item[].item[].text
Provide a link to a video clip where the average air speed velocity of a laden swallow question is discussed.

# entry[].resource.item[].item[].text
What is the average air speed velocity of a laden swallow in m/sec?

# entry[].resource.item[].item[].text
What is the average air speed velocity of a laden swallow in m/sec?

# entry[].resource.item[].item[].text
What is the average air speed velocity of a laden swallow - please provide the units?

# entry[].resource.text.div
Fitness Study

Status: Active

# entry[].resource.text.div
interRAI Long-Term Care Facilities Assessment Form

# entry[].resource.title
interRAI Long-Term Care Facilities Assessment Form

# entry[].resource.item[].item[].answerOption[].valueCoding.display
Significant change in status reassessment

# entry[].resource.item[].item[].answerOption[].valueCoding.display
Discharge assessment, covers last 3 days of service

# entry[].resource.item[].item[].code[].display
TIME SINCE LAST HOSPITAL STAY - Code for most recent instance in LAST 90 DAYS

# entry[].resource.item[].item[].text
10. TIME SINCE LAST HOSPITAL STAY - Code for most recent instance in LAST 90 DAYS

# entry[].resource.item[].item[].item[].text
Code for most recent instance in LAST 90 DAYS

# entry[].resource.item[].item[].code[].display
Level of control person had over decision to move into LTCF

# entry[].resource.item[].item[].text
1. Level of control person had over decision to move into LTCF

# entry[].resource.item[].item[].item[].text
b. Indigenous status - Is the client of Aboriginal or Torres Strait Islander origin?

# entry[].resource.item[].item[].code[].display
PRIMARY LANGUAGE - Main language spoken at home

# entry[].resource.item[].item[].text
4. PRIMARY LANGUAGE - Main language spoken at home

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
Private residence - owned/purchasing - Client owns/is purchasing - Family member or related person owns/is purchasing

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
Private residence - public rental or community housing; indigenous community / settlement

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
Independent living within retirement village

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
Boarding house / rooming house / private hostel

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
Short-term crisis, emergency, or transactional accommodation

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
Mental health residence—e.g., psychiatric group home

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
Group home for persons with physical disability

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
Setting for persons with intellectual disability

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
Residential aged care service - low-level care

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
Residential aged care service - high-level care

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
Private residence - owned/purchasing - Client owns/is purchasing - Family member or related person owns/is purchasing

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
Private residence - public rental or community housing; indigenous community / settlement

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
Independent living within retirement village

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
Boarding house / rooming house / private hostel

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
Short-term crisis, emergency, or transactional accommodation

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
Mental health residence—e.g., psychiatric group home

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
Group home for persons with physical disability

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
Setting for persons with intellectual disability

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
Residential aged care service - low-level care

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
Residential aged care service - high-level care

# entry[].resource.item[].item[].code[].display
Post code of usual living arrangement prior to admission

# entry[].resource.item[].item[].text
6. Post code of usual living arrangement prior to admission

# entry[].resource.item[].item[].text
7. Living arrangement prior to admission

# entry[].resource.item[].item[].text
8. Residential History Over Last 5 Years

# entry[].resource.item[].item[].item[].text
Code for all settings person lived in during 5 YEARS prior to date stay began (Item B2)

# entry[].resource.item[].item[].item[].text
a. Long-term care facility - e.g., nursing home, chronic sick unit

# entry[].resource.item[].item[].item[].code[].display
b. Board and care home, assisted living, group home

# entry[].resource.item[].item[].item[].text
b. Board and care home, assisted living, group home

# entry[].resource.item[].item[].item[].text
c. Mental health residence-e.g., psychiatric group home

# entry[].resource.item[].item[].item[].code[].display
e. Setting for persons with intellectual disability

# entry[].resource.item[].item[].item[].text
e. Setting for persons with intellectual disability

# entry[].resource.item[].item[].text
9. MENTAL HEALTH - Record indicates history of mental illness or intellectual disability

# entry[].resource.item[].item[].item[].text
Record indicates history of mental illness or intellectual disability

# entry[].resource.item[].item[].text
Making decisions regarding tasks of daily life-e.g., when to get up or have meals, which clothes to wear or activities to do

# entry[].resource.item[].item[].code[].display
COGNITIVE SKILLS FOR DAILY DECISION MAKING - Making decisions regarding tasks of daily life-e.g., when to get up or have meals, which clothes to wear or activities to do

# entry[].resource.item[].item[].text
1. COGNITIVE SKILLS FOR DAILY DECISION MAKING - Making decisions regarding tasks of daily life-e.g., when to get up or have meals, which clothes to wear or activities to do

# entry[].resource.item[].item[].answerOption[].valueCoding.display
Modified independence-some difficulty in new situations only

# entry[].resource.item[].item[].answerOption[].valueCoding.display
Minimally impaired  - In specific recurring situations, decisions become poor or unsafe; cues / supervision necessary at those times

# entry[].resource.item[].item[].answerOption[].valueCoding.display
Moderately impaired - Decisions consistently poor or unsafe; cues / supervision required at all times

# entry[].resource.item[].item[].answerOption[].valueCoding.display
Severely impaired - Never or rarely make decisions

# entry[].resource.item[].item[].item[].text
Code for recall of what was learned or known

# entry[].resource.item[].item[].item[].text
a. Short-term memory OK-Seems / appears to recall after 5 minutes

# entry[].resource.item[].item[].item[].text
b. Procedural memory OK-Can perform all or almost all steps in a multitask sequence without cues

# entry[].resource.item[].item[].item[].text
c. Situational memory OK- Both: recognizes caregiver's names / faces frequently encountered AND knows location of places regularly visited  (bedroom, dining room, activity, therapy room)

# entry[].resource.item[].item[].item[].text
d. Long-term memory OK-Seems / appears to recall distant past

# entry[].resource.item[].item[].text
3. Periodic disordered thinking or awareness

# entry[].resource.item[].item[].item[].text
[Note: Accurate assessment requires conversations with staff, family, or others who have direct knowledge of the person's behaviour over this time]

# entry[].resource.item[].item[].item[].text
a. Easily distracted-e.g., episodes of difficulty paying attention; gets sidetracked

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
Behaviour present, consistent with usual functioning

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
Behaviour present, appears different from usual functioning (e.g., new onset or worsening; different from a few weeks ago)

# entry[].resource.item[].item[].item[].text
b. Episodes of disorganized speech-e.g., speech is nonsensical, irrelevant, or rambling from subject to subject; loses train of thought

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
Behaviour present, consistent with usual functioning

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
Behaviour present, appears different from usual functioning (e.g., new onset or worsening; different from a few weeks ago)

# entry[].resource.item[].item[].item[].code[].display
c. Mental Function varies over the course of the day

# entry[].resource.item[].item[].item[].text
c. Mental Function varies over the course of the day-e.g., sometimes better, sometimes worse

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
Behaviour present, consistent with usual functioning

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
Behaviour present, appears different from usual functioning (e.g., new onset or worsening; different from a few weeks ago)

# entry[].resource.item[].item[].code[].display
Acute change in mental status from person's usual functioning

# entry[].resource.item[].item[].text
4. Acute change in mental status from person's usual functioning - e.g., restlessness, lethargy, difficult to arouse, altered environmental perception

# entry[].resource.item[].item[].code[].display
Change in decision making as compared to 90 days ago

# entry[].resource.item[].item[].text
5. Change in decision making as compared to 90 days ago (or since last assessment)

# entry[].resource.item[].item[].text
1. MAKING SELF UNDERSTOOD (EXPRESSION): Expressing information content - both verbal and non-verbal

# entry[].resource.item[].item[].answerOption[].valueCoding.display
0. Understood—Expresses ideas without difficulty

# entry[].resource.item[].item[].answerOption[].valueCoding.display
1. Usually understood—Difficulty finding words or finishing thoughts BUT if given time, little or no prompting required

# entry[].resource.item[].item[].answerOption[].valueCoding.display
2. Often understood—Difficulty finding words or finishing thoughts AND prompting usually required

# entry[].resource.item[].item[].answerOption[].valueCoding.display
3. Sometimes understood—Ability is limited to making concrete requests

# entry[].resource.item[].item[].item[].text
Expressing information content - both verbal and non-verbal

# entry[].resource.item[].item[].text
2. ABILITY TO UNDERSTAND OTHERS (COMPREHENSION) - Understanding verbal information content (however able; with hearing appliance normally used)

# entry[].resource.item[].item[].answerOption[].valueCoding.display
1. Usually understands—Misses some part / intent of message BUT comprehends most conversation

# entry[].resource.item[].item[].answerOption[].valueCoding.display
2. Often understands—Misses some part / intent of message BUT with repetition or explanation can often comprehend conversation

# entry[].resource.item[].item[].answerOption[].valueCoding.display
3. Sometimes understands—Responds adequately to simple, direct communication only

# entry[].resource.item[].item[].item[].text
Understanding verbal information content (however able; with hearing appliance normally used)

# entry[].resource.item[].item[].item[].code[].display
a. Ability to hear (with hearing appliance normally used)

# entry[].resource.item[].item[].item[].text
a. Ability to hear (with hearing appliance normally used)

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
0. Adequate—No difficulty in normal conversation, social interaction, listening to TV

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Minimal difficulty—Difficulty in some environments (e.g., when person speaks softly or is more than 6 feet [2 meters] away)

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
2. Moderate difficulty—Problem hearing normal conversation, requires quiet setting to hear well

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
3. Severe difficulty—Difficulty in all situations (e.g., speaker has to talk loudly or speak very slowly; or person reports that all speech is mumbled)

# entry[].resource.item[].item[].item[].text
a. Ability to see in adequate light (with glasses or with other appliance normally used)

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
0. Adequate—Sees fine detail, including regular print in newspapers / books

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Minimal difficulty—Sees large print but not regular print in newspapers / books

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
2. Moderate difficulty—Limited vision; not able to see newspaper headlines but can identify objects

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
3. Severe difficulty—Object identification in question, but eyes appear to follow objects; sees only light, colours, shapes

# entry[].resource.item[].item[].code[].display
Indicators of possible depressed, anxious, or sad mood

# entry[].resource.item[].item[].text
1. Indicators of possible depressed, anxious, or sad mood

# entry[].resource.item[].item[].item[].text
Code for indicators observed in last 3 days, irrespective of the assumed cause [Note: Whenever possible, ask person.]

# entry[].resource.item[].item[].item[].text
a. Made negative statements - e.g., "Nothing matters"; "Would rather be dead"; "What's the use"; "Regret having lived so long"; "Let me die"

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Present but not exhibited in last 3 days

# entry[].resource.item[].item[].item[].text
b. Persistent anger with self or others - e.g., easily annoyed, anger at care received

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Present but not exhibited in last 3 days

# entry[].resource.item[].item[].item[].code[].display
c. Expressions, including non-verbal, of what appears to be unrealistic fears

# entry[].resource.item[].item[].item[].text
c. Expressions, including non-verbal, of what appears to be unrealistic fears - e.g., fear of being abandoned, being left alone, being with others, intense fear of specific objects or situations

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Present but not exhibited in last 3 days

# entry[].resource.item[].item[].item[].text
d. Repetitive health complaints - e.g., persistently seeks medical attention, incessant concern with body functions

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Present but not exhibited in last 3 days

# entry[].resource.item[].item[].item[].text
e. Repetitive anxious complaints/concerns (non-health-related) - e.g., persistently seeks attention/reassurance regarding schedules, meals, laundry, clothing, relationships

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Present but not exhibited in last 3 days

# entry[].resource.item[].item[].item[].code[].display
f. Sad, pained, or worried facial expressions

# entry[].resource.item[].item[].item[].text
f. Sad, pained, or worried facial expressions - e.g., furrowed brow, constant frowning

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Present but not exhibited in last 3 days

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Present but not exhibited in last 3 days

# entry[].resource.item[].item[].item[].code[].display
h. Recurrent statements that something terrible is about to happen

# entry[].resource.item[].item[].item[].text
h. Recurrent statements that something terrible is about to happen - e.g., believes he or she is about to die, have a heart attack

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Present but not exhibited in last 3 days

# entry[].resource.item[].item[].item[].code[].display
i. Withdrawal from activities of interest

# entry[].resource.item[].item[].item[].text
i. Withdrawal from activities of interest - e.g., long-standing activities, being with family/friends

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Present but not exhibited in last 3 days

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Present but not exhibited in last 3 days

# entry[].resource.item[].item[].item[].code[].display
k. Expressions, including non-verbal, of a lack of pleasure in life (anhedonia)

# entry[].resource.item[].item[].item[].text
k. Expressions, including non-verbal, of a lack of pleasure in life (anhedonia) - e.g., "I don’t enjoy anything anymore"

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Present but not exhibited in last 3 days

# entry[].resource.item[].item[].code[].display
Self-reported mood - "In the last 3 days, how often have you felt…"

# entry[].resource.item[].item[].text
2. Self-reported mood - "In the last 3 days, how often have you felt…"

# entry[].resource.item[].item[].item[].text
Ask: "In the last 3 days, how often have you felt…"

# entry[].resource.item[].item[].item[].code[].display
a. Little interest or pleasure in things you normally enjoy?

# entry[].resource.item[].item[].item[].text
a. Little interest or pleasure in things you normally enjoy?

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Not in last 3 days but often feels that way

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Not in last 3 days but often feels that way

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Not in last 3 days but often feels that way

# entry[].resource.item[].item[].item[].text
Code for indicators observed, irrespective of the assumed cause

# entry[].resource.item[].item[].item[].text
a. Wandering - Moved with no rational purpose, seemingly oblivious to needs or safety

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Present but not exhibited in last 3 days

# entry[].resource.item[].item[].item[].text
b. Verbal abuse - e.g., others were threatened, screamed at, cursed at

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Present but not exhibited in last 3 days

# entry[].resource.item[].item[].item[].text
c. Physical abuse - e.g., others were hit, shoved, scratched, sexually abused

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Present but not exhibited in last 3 days

# entry[].resource.item[].item[].item[].code[].display
d. Socially inappropriate or disruptive behaviour

# entry[].resource.item[].item[].item[].text
d. Socially inappropriate or disruptive behaviour - e.g., made disruptive sounds or noise, screamed out, smeared or threw food or faeces, hoarded, rummaged through other's belongings

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Present but not exhibited in last 3 days

# entry[].resource.item[].item[].item[].code[].display
e. Inappropriate public sexual behaviour or public disrobing

# entry[].resource.item[].item[].item[].text
e. Inappropriate public sexual behaviour or public disrobing

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Present but not exhibited in last 3 days

# entry[].resource.item[].item[].item[].text
f. Resists care - e.g., taking medications/injections, ADL assistance, eating

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Present but not exhibited in last 3 days

# entry[].resource.item[].item[].text
[Note: Ask person, direct care staff, and family, if available.]

# entry[].resource.item[].item[].item[].code[].display
a. Participation in social activities of long-standing interest

# entry[].resource.item[].item[].item[].text
a. Participation in social activities of long-standing interest

# entry[].resource.item[].item[].item[].code[].display
b. Visit with a long-standing social relation or family member

# entry[].resource.item[].item[].item[].text
b. Visit with a long-standing social relation or family member

# entry[].resource.item[].item[].item[].code[].display
c. Other interaction with long-standing social relation or family member

# entry[].resource.item[].item[].item[].text
c. Other interaction with long-standing social relation or family member - e.g., telephone, e-mail

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Present but not exhibited in last 3 days

# entry[].resource.item[].item[].item[].code[].display
b. At ease doing planned or structured activities

# entry[].resource.item[].item[].item[].text
b. At ease doing planned or structured activities

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Present but not exhibited in last 3 days

# entry[].resource.item[].item[].item[].code[].display
c. Accepts invitations into most group activities

# entry[].resource.item[].item[].item[].text
c. Accepts invitations into most group activities

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Present but not exhibited in last 3 days

# entry[].resource.item[].item[].item[].code[].display
d. Pursues involvement in life of facility

# entry[].resource.item[].item[].item[].text
d. Pursues involvement in life of facility - e.g., makes or keeps friends; involved in group activities; responds positively to new activities; assists at religious services

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Present but not exhibited in last 3 days

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Present but not exhibited in last 3 days

# entry[].resource.item[].item[].item[].code[].display
f. Reacts positively to interactions initiated by others

# entry[].resource.item[].item[].item[].text
f. Reacts positively to interactions initiated by others

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Present but not exhibited in last 3 days

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Present but not exhibited in last 3 days

# entry[].resource.item[].item[].item[].code[].display
a. Conflict with or repeated criticism of other care recipients

# entry[].resource.item[].item[].item[].text
a. Conflict with or repeated criticism of other care recipients

# entry[].resource.item[].item[].item[].code[].display
b. Conflict with or repeated criticism of staff

# entry[].resource.item[].item[].item[].text
b. Conflict with or repeated criticism of staff

# entry[].resource.item[].item[].item[].code[].display
c. Staff report persistent frustration in dealing with person

# entry[].resource.item[].item[].item[].text
c. Staff report persistent frustration in dealing with person

# entry[].resource.item[].item[].item[].code[].display
d. Family or close friends report feeling overwhelmed by person’s condition

# entry[].resource.item[].item[].item[].text
d. Family or close friends report feeling overwhelmed by person’s condition

# entry[].resource.item[].item[].item[].code[].display
e. Says or indicates that he/she feels lonely

# entry[].resource.item[].item[].item[].text
e. Says or indicates that he/she feels lonely

# entry[].resource.item[].item[].code[].display
MAJOR LIFE STRESSORS IN LAST 90 DAYS - e.g., episode of severe personal illness; death or severe illness of close famiy member/friend; loss of home; major loss of income/assets; victim of a crime such as a robbery or assualt; loss of driving licence/car

# entry[].resource.item[].item[].text
4. MAJOR LIFE STRESSORS IN LAST 90 DAYS - e.g., episode of severe personal illness; death or severe illness of close famiy member/friend; loss of home; major loss of income/assets; victim of a crime such as a robbery or assualt; loss of driving licence/car

# entry[].resource.item[].item[].item[].code[].display
c. Strong and supportive relationship with family

# entry[].resource.item[].item[].item[].text
c. Strong and supportive relationship with family

# entry[].resource.item[].item[].text
"Consider all episodes over 3-day period.  If all episodes are performed at the same level, score ADL at that level. If any episodes at level 6, and others less dependent, score ADL as a 5. Otherwise, focus on the three most dependent episodes [or all episodes if performed fewer than 3 times]. If most dependent episode is 1, score ADL as 1. If not, score ADL as least dependent of those episodes in range 2-5."

# entry[].resource.item[].item[].item[].text
a. Bathing - How takes a full-body bath/shower. Includes how transfers in and out of tub or shower AND how each part of the body is bathed: arms, upper and lower legs, chest, abdomen, perineal area-EXCLUDE WASHING OF BACK AND HAIR

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
0. Independent—No physical assistance, setup, or supervision in any episode

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Independent, setup help only—Article or device provided or placed within reach, no physical assistance or supervision in any episode

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
3. Limited assistance—Guided manoeuvring of limbs, physical guidance without taking weight

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
4. Extensive assistance—Weight-bearing support (including lifting limbs) by 1 helper where person still performs 50% or more of subtasks

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
5. Maximal assistance—Weight-bearing support (including lifting limbs) by 2+ helpers-OR-weight-bearing support for more than 50% of subtasks

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
6. Total dependence—Full performance by others during all episodes

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
8. Activity did not occur during entire period

# entry[].resource.item[].item[].item[].text
b. Personal hygiene - How manages personal hygiene, including combing hair, brushing teeth, shaving, applying make-up, washing ad drying face and hands - EXCLUDES BATHS AND SHOWERS

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
0. Independent—No physical assistance, setup, or supervision in any episode

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Independent, setup help only—Article or device provided or placed within reach, no physical assistance or supervision in any episode

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
3. Limited assistance—Guided manoeuvring of limbs, physical guidance without taking weight

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
4. Extensive assistance—Weight-bearing support (including lifting limbs) by 1 helper where person still performs 50% or more of subtasks

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
5. Maximal assistance—Weight-bearing support (including lifting limbs) by 2+ helpers-OR-weight-bearing support for more than 50% of subtasks

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
6. Total dependence—Full performance by others during all episodes

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
8. Activity did not occur during entire period

# entry[].resource.item[].item[].item[].text
c. Dressing upper body - How dresses and undresses  (street clothes, underwear) from above the waist, including prostheses, orthotics, fasteners, pullovers, etc.

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
0. Independent—No physical assistance, setup, or supervision in any episode

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Independent, setup help only—Article or device provided or placed within reach, no physical assistance or supervision in any episode

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
3. Limited assistance—Guided manoeuvring of limbs, physical guidance without taking weight

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
4. Extensive assistance—Weight-bearing support (including lifting limbs) by 1 helper where person still performs 50% or more of subtasks

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
5. Maximal assistance—Weight-bearing support (including lifting limbs) by 2+ helpers-OR-weight-bearing support for more than 50% of subtasks

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
6. Total dependence—Full performance by others during all episodes

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
8. Activity did not occur during entire period

# entry[].resource.item[].item[].item[].text
d. Dressing lower body - How dresses and undresses (street clothes and underwear) from the waist down, including protheses, orthotics, belts, pants, skirts, shoes, fasteners, etc.

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
0. Independent—No physical assistance, setup, or supervision in any episode

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Independent, setup help only—Article or device provided or placed within reach, no physical assistance or supervision in any episode

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
3. Limited assistance—Guided manoeuvring of limbs, physical guidance without taking weight

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
4. Extensive assistance—Weight-bearing support (including lifting limbs) by 1 helper where person still performs 50% or more of subtasks

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
5. Maximal assistance—Weight-bearing support (including lifting limbs) by 2+ helpers-OR-weight-bearing support for more than 50% of subtasks

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
6. Total dependence—Full performance by others during all episodes

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
8. Activity did not occur during entire period

# entry[].resource.item[].item[].item[].text
e. Walking - How walks between locations on same floor indoors

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
0. Independent—No physical assistance, setup, or supervision in any episode

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Independent, setup help only—Article or device provided or placed within reach, no physical assistance or supervision in any episode

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
3. Limited assistance—Guided manoeuvring of limbs, physical guidance without taking weight

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
4. Extensive assistance—Weight-bearing support (including lifting limbs) by 1 helper where person still performs 50% or more of subtasks

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
5. Maximal assistance—Weight-bearing support (including lifting limbs) by 2+ helpers-OR-weight-bearing support for more than 50% of subtasks

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
6. Total dependence—Full performance by others during all episodes

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
8. Activity did not occur during entire period

# entry[].resource.item[].item[].item[].text
f. Locomotion - How moves between locations on same floor (walking or wheeling). If in wheelchair, self-sufficiency once in chair

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
0. Independent—No physical assistance, setup, or supervision in any episode

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Independent, setup help only—Article or device provided or placed within reach, no physical assistance or supervision in any episode

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
3. Limited assistance—Guided manoeuvring of limbs, physical guidance without taking weight

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
4. Extensive assistance—Weight-bearing support (including lifting limbs) by 1 helper where person still performs 50% or more of subtasks

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
5. Maximal assistance—Weight-bearing support (including lifting limbs) by 2+ helpers-OR-weight-bearing support for more than 50% of subtasks

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
6. Total dependence—Full performance by others during all episodes

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
8. Activity did not occur during entire period

# entry[].resource.item[].item[].item[].text
g. Transfer toilet - How moves on and off toilet or commode

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
0. Independent—No physical assistance, setup, or supervision in any episode

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Independent, setup help only—Article or device provided or placed within reach, no physical assistance or supervision in any episode

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
3. Limited assistance—Guided manoeuvring of limbs, physical guidance without taking weight

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
4. Extensive assistance—Weight-bearing support (including lifting limbs) by 1 helper where person still performs 50% or more of subtasks

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
5. Maximal assistance—Weight-bearing support (including lifting limbs) by 2+ helpers-OR-weight-bearing support for more than 50% of subtasks

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
6. Total dependence—Full performance by others during all episodes

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
8. Activity did not occur during entire period

# entry[].resource.item[].item[].item[].text
h. Toilet use - How uses the toilet room (or commode, bedpan, urinal), cleanses self after toilet use or incontinent episode(s), changes pad, manages ostomy or catheter, adjusts clothes - EXCLUDE TRANSFER ON AND OFF TOILET

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
0. Independent—No physical assistance, setup, or supervision in any episode

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Independent, setup help only—Article or device provided or placed within reach, no physical assistance or supervision in any episode

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
3. Limited assistance—Guided manoeuvring of limbs, physical guidance without taking weight

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
4. Extensive assistance—Weight-bearing support (including lifting limbs) by 1 helper where person still performs 50% or more of subtasks

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
5. Maximal assistance—Weight-bearing support (including lifting limbs) by 2+ helpers-OR-weight-bearing support for more than 50% of subtasks

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
6. Total dependence—Full performance by others during all episodes

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
8. Activity did not occur during entire period

# entry[].resource.item[].item[].item[].text
i. Bed mobility - How moves to and from lying position, turns from side to side, and positions body while in bed

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
0. Independent—No physical assistance, setup, or supervision in any episode

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Independent, setup help only—Article or device provided or placed within reach, no physical assistance or supervision in any episode

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
3. Limited assistance—Guided manoeuvring of limbs, physical guidance without taking weight

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
4. Extensive assistance—Weight-bearing support (including lifting limbs) by 1 helper where person still performs 50% or more of subtasks

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
5. Maximal assistance—Weight-bearing support (including lifting limbs) by 2+ helpers-OR-weight-bearing support for more than 50% of subtasks

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
6. Total dependence—Full performance by others during all episodes

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
8. Activity did not occur during entire period

# entry[].resource.item[].item[].item[].text
j. Eating - How eats and drinks (regardless of skill). Includes intake of nourishment by other means (e.g., tube feeding, total parenteral nutrition)

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
0. Independent—No physical assistance, setup, or supervision in any episode

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Independent, setup help only—Article or device provided or placed within reach, no physical assistance or supervision in any episode

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
3. Limited assistance—Guided manoeuvring of limbs, physical guidance without taking weight

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
4. Extensive assistance—Weight-bearing support (including lifting limbs) by 1 helper where person still performs 50% or more of subtasks

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
5. Maximal assistance—Weight-bearing support (including lifting limbs) by 2+ helpers-OR-weight-bearing support for more than 50% of subtasks

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
6. Total dependence—Full performance by others during all episodes

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
8. Activity did not occur during entire period

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Walking, uses assistive device—e.g., cane, walker, crutch, pushing wheelchair

# entry[].resource.item[].item[].item[].code[].display
b. Timed 4-metre walk - Lay out a straight, unobstructed course. Have person stand in still position, feet just touching start line. Then say: "When I tell, begin to walk at a normal pace (with cane/walker if used)". This is not a test of how fast you can walk. Stop when I tell you to stop. Is this clear?" Assessor may demonstrate test. Then say: "Begin to walk now." Start stopwatch (or can count seconds) when first foot falls. End count when foot falls beyond 4-metre mark. Then say: "You may stop now.

# entry[].resource.item[].item[].item[].text
b. Timed 4-metre walk - Lay out a straight, unobstructed course. Have person stand in still position, feet just touching start line. Then say: "When I tell, begin to walk at a normal pace (with cane/walker if used)". This is not a test of how fast you can walk. Stop when I tell you to stop. Is this clear?" Assessor may demonstrate test. Then say: "Begin to walk now." Start stopwatch (or can count seconds) when first foot falls. End count when foot falls beyond 4-metre mark. Then say: "You may stop now.

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
99. Not tested - e.g. does not walk on own

# entry[].resource.item[].item[].item[].item[].text
Lay out a straight, unobstructed course. Have person stand in still position, feet just touching start line. Then say: "When I tell, begin to walk at a normal pace (with cane/walker if used)". This is not a test of how fast you can walk. Stop when I tell you to stop. Is this clear?" Assessor may demonstrate test. Then say: "Begin to walk now." Start stopwatch (or can count seconds) when first foot falls. End count when foot falls beyond 4-metre mark. Then say: "You may stop now."

# entry[].resource.item[].item[].item[].text
c. Distance walked - Farthest distance walked at one time without sitting down in the LAST 3 DAYS (with support as needed)

# entry[].resource.item[].item[].item[].text
d. Distance wheeled self - Farthest distance wheeled self at one time in the LAST 3 DAYS (includes independent use of motorised wheelchair)

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
2. Wheeled self less than 15 feet (under 5 metres)

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
3. Wheeled self 15–149 feet (5–49 metres)

# entry[].resource.item[].item[].item[].code[].display
a. Total hours of exercise or physical activity in Last 3 days

# entry[].resource.item[].item[].item[].text
a. Total hours of exercise or physical activity in Last 3 days

# entry[].resource.item[].item[].item[].code[].display
b. Number of days went out of house or buildiing of residence in last 3 days

# entry[].resource.item[].item[].item[].text
b. In the LAST 3 DAYS, number of days went out of house or building in which he/she resides (no matter how short the period)

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Did not go out in last 3 days, but usually goes out over a 3-day period

# entry[].resource.item[].item[].text
4. Physical function improvement potential

# entry[].resource.item[].item[].item[].code[].display
a. Person believes he/she is capable of improved performance in physical function

# entry[].resource.item[].item[].item[].text
a. Person believes he/she is capable of improved performance in physical function

# entry[].resource.item[].item[].item[].code[].display
b. Care professional believes person is capable of improved performance in physical function

# entry[].resource.item[].item[].item[].text
b. Care professional believes person is capable of improved performance in physical function

# entry[].resource.item[].item[].code[].display
Change in ADL status as compared to 90 days ago (or since last assessment if less than 90 days ago)

# entry[].resource.item[].item[].text
5. Change in ADL status as compared to 90 days ago (or since last assessment if less than 90 days ago)

# entry[].resource.item[].item[].answerOption[].valueCoding.display
0. Continent - Complete control; DOES NOT USE any type of catheter or other urinary collection device

# entry[].resource.item[].item[].answerOption[].valueCoding.display
1. Control with any catheter or ostomy over last 3 days

# entry[].resource.item[].item[].answerOption[].valueCoding.display
2. Infrequently incontinent - Not incontinent over last 3 days, but does have incontinent episodes

# entry[].resource.item[].item[].answerOption[].valueCoding.display
3. Occasionally incontinent—Less than daily

# entry[].resource.item[].item[].answerOption[].valueCoding.display
4. Frequently incontinent—Daily, but some control present

# entry[].resource.item[].item[].answerOption[].valueCoding.display
8. Did not occur—No urine output from bladder in last 3 days

# entry[].resource.item[].item[].code[].display
Urinary collection device (excludes pads/briefs)

# entry[].resource.item[].item[].text
2. Urinary collection device (excludes pads/briefs)

# entry[].resource.item[].item[].answerOption[].valueCoding.display
0. Continent - Complete control; DOES NOT USE any type of ostomy device

# entry[].resource.item[].item[].answerOption[].valueCoding.display
1. Control with ostomy - Control with ostomy over last 3 days

# entry[].resource.item[].item[].answerOption[].valueCoding.display
2. Infrequently incontinent - Not incontinent over last 3 days, but does have incontinent episodes

# entry[].resource.item[].item[].answerOption[].valueCoding.display
3. Occasionally incontinent — Less than daily

# entry[].resource.item[].item[].answerOption[].valueCoding.display
4. Frequently incontinent — Daily, but some control present

# entry[].resource.item[].item[].answerOption[].valueCoding.display
8. Did not occur — No bowel movement in last 3 days

# entry[].resource.item[].item[].item[].code[].display
a. Hip fracture during the last 30 days (or since last assessment if less than 30 days)

# entry[].resource.item[].item[].item[].text
a. Hip fracture during the last 30 days (or since last assessment if less than 30 days)

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Primary diagnosis / diagnoses for current stay

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
2. Diagnosis present, receiving active treatment

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
3. Diagnosis present, monitored but no active treatment

# entry[].resource.item[].item[].item[].code[].display
b. Other fracture during the last 30 days (or since last assessment if less than 30 days)

# entry[].resource.item[].item[].item[].text
b. Other fracture during the last 30 days (or since last assessment if less than 30 days)

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Primary diagnosis / diagnoses for current stay

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
2. Diagnosis present, receiving active treatment

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
3. Diagnosis present, monitored but no active treatment

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Primary diagnosis / diagnoses for current stay

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
2. Diagnosis present, receiving active treatment

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
3. Diagnosis present, monitored but no active treatment

# entry[].resource.item[].item[].item[].code[].display
d. Dementia other than Alzheimer's disease

# entry[].resource.item[].item[].item[].text
d. Dementia other than Alzheimer's disease

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Primary diagnosis / diagnoses for current stay

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
2. Diagnosis present, receiving active treatment

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
3. Diagnosis present, monitored but no active treatment

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Primary diagnosis / diagnoses for current stay

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
2. Diagnosis present, receiving active treatment

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
3. Diagnosis present, monitored but no active treatment

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Primary diagnosis / diagnoses for current stay

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
2. Diagnosis present, receiving active treatment

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
3. Diagnosis present, monitored but no active treatment

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Primary diagnosis / diagnoses for current stay

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
2. Diagnosis present, receiving active treatment

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
3. Diagnosis present, monitored but no active treatment

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Primary diagnosis / diagnoses for current stay

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
2. Diagnosis present, receiving active treatment

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
3. Diagnosis present, monitored but no active treatment

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Primary diagnosis / diagnoses for current stay

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
2. Diagnosis present, receiving active treatment

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
3. Diagnosis present, monitored but no active treatment

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Primary diagnosis / diagnoses for current stay

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
2. Diagnosis present, receiving active treatment

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
3. Diagnosis present, monitored but no active treatment

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Primary diagnosis / diagnoses for current stay

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
2. Diagnosis present, receiving active treatment

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
3. Diagnosis present, monitored but no active treatment

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Primary diagnosis / diagnoses for current stay

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
2. Diagnosis present, receiving active treatment

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
3. Diagnosis present, monitored but no active treatment

# entry[].resource.item[].item[].item[].code[].display
l. Chronic obstructive pulmonary disease (COPD)

# entry[].resource.item[].item[].item[].text
l. Chronic obstructive pulmonary disease (COPD)

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Primary diagnosis / diagnoses for current stay

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
2. Diagnosis present, receiving active treatment

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
3. Diagnosis present, monitored but no active treatment

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Primary diagnosis / diagnoses for current stay

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
2. Diagnosis present, receiving active treatment

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
3. Diagnosis present, monitored but no active treatment

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Primary diagnosis / diagnoses for current stay

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
2. Diagnosis present, receiving active treatment

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
3. Diagnosis present, monitored but no active treatment

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Primary diagnosis / diagnoses for current stay

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
2. Diagnosis present, receiving active treatment

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
3. Diagnosis present, monitored but no active treatment

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Primary diagnosis / diagnoses for current stay

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
2. Diagnosis present, receiving active treatment

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
3. Diagnosis present, monitored but no active treatment

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Primary diagnosis / diagnoses for current stay

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
2. Diagnosis present, receiving active treatment

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
3. Diagnosis present, monitored but no active treatment

# entry[].resource.item[].item[].item[].code[].display
s. Urinary tract infection (UTI) during last 30 days

# entry[].resource.item[].item[].item[].text
s. Urinary tract infection (UTI) during last 30 days

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Primary diagnosis / diagnoses for current stay

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
2. Diagnosis present, receiving active treatment

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
3. Diagnosis present, monitored but no active treatment

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Primary diagnosis / diagnoses for current stay

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
2. Diagnosis present, receiving active treatment

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
3. Diagnosis present, monitored but no active treatment

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Primary diagnosis / diagnoses for current stay

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
2. Diagnosis present, receiving active treatment

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
3. Diagnosis present, monitored but no active treatment

# entry[].resource.item[].item[].item[].item[].answerOption[].valueCoding.display
1. Primary diagnosis / diagnoses for current stay

# entry[].resource.item[].item[].item[].item[].answerOption[].valueCoding.display
2. Diagnosis present, receiving active treatment

# entry[].resource.item[].item[].item[].item[].answerOption[].valueCoding.display
3. Diagnosis present, monitored but no active treatment

# entry[].resource.item[].item[].item[].item[].answerOption[].valueCoding.display
1. Primary diagnosis / diagnoses for current stay

# entry[].resource.item[].item[].item[].item[].answerOption[].valueCoding.display
2. Diagnosis present, receiving active treatment

# entry[].resource.item[].item[].item[].item[].answerOption[].valueCoding.display
3. Diagnosis present, monitored but no active treatment

# entry[].resource.item[].item[].item[].item[].answerOption[].valueCoding.display
1. Primary diagnosis / diagnoses for current stay

# entry[].resource.item[].item[].item[].item[].answerOption[].valueCoding.display
2. Diagnosis present, receiving active treatment

# entry[].resource.item[].item[].item[].item[].answerOption[].valueCoding.display
3. Diagnosis present, monitored but no active treatment

# entry[].resource.item[].item[].item[].item[].answerOption[].valueCoding.display
1. Primary diagnosis / diagnoses for current stay

# entry[].resource.item[].item[].item[].item[].answerOption[].valueCoding.display
2. Diagnosis present, receiving active treatment

# entry[].resource.item[].item[].item[].item[].answerOption[].valueCoding.display
3. Diagnosis present, monitored but no active treatment

# entry[].resource.item[].item[].item[].item[].answerOption[].valueCoding.display
1. Primary diagnosis / diagnoses for current stay

# entry[].resource.item[].item[].item[].item[].answerOption[].valueCoding.display
2. Diagnosis present, receiving active treatment

# entry[].resource.item[].item[].item[].item[].answerOption[].valueCoding.display
3. Diagnosis present, monitored but no active treatment

# entry[].resource.item[].item[].item[].item[].answerOption[].valueCoding.display
1. Primary diagnosis / diagnoses for current stay

# entry[].resource.item[].item[].item[].item[].answerOption[].valueCoding.display
2. Diagnosis present, receiving active treatment

# entry[].resource.item[].item[].item[].item[].answerOption[].valueCoding.display
3. Diagnosis present, monitored but no active treatment

# entry[].resource.item[].item[].answerOption[].valueCoding.display
1. No fall in the last 30 days, but fell 31-90 days ago

# entry[].resource.item[].item[].code[].display
RECENT FALLS - [Skip if last assessed more than 30 days ago or if this is first assessment]. Leave blank if 'Not applicable' (first assessment or more than 30 days since last assessment)

# entry[].resource.item[].item[].text
2. RECENT FALLS - [Skip if last assessed more than 30 days ago or if this is first assessment]. Leave blank if 'Not applicable' (first assessment or more than 30 days since last assessment)

# entry[].resource.item[].item[].item[].text
[Skip if last assessed more than 30 days ago or if this is first assessment]. Leave blank if 'Not applicable' (first assessment or more than 30 days since last assessment)

# entry[].resource.item[].item[].item[].code[].display
a. Difficult or unable to move self to standing position unassisted

# entry[].resource.item[].item[].item[].text
a. Difficult or unable to move self to standing position unassisted

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Present but not exhibited in last 3 days

# entry[].resource.item[].item[].item[].code[].display
b. Difficult or unable to turn self around and face the opposite direction when standing

# entry[].resource.item[].item[].item[].text
b. Difficult or unable to turn self around and face the opposite direction when standing

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Present but not exhibited in last 3 days

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Present but not exhibited in last 3 days

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Present but not exhibited in last 3 days

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Present but not exhibited in last 3 days

# entry[].resource.item[].item[].item[].code[].display
f. Difficulty clearing airway secretions

# entry[].resource.item[].item[].item[].text
f. Difficulty clearing airway secretions

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Present but not exhibited in last 3 days

# entry[].resource.item[].item[].item[].text
g. Abnormal thought process - e.g., loosening of associations, blocking, flight of ideas, tangentiality, circumstantiality

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Present but not exhibited in last 3 days

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Present but not exhibited in last 3 days

# entry[].resource.item[].item[].item[].text
i. Hallucinations - False sensory perceptions

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Present but not exhibited in last 3 days

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Present but not exhibited in last 3 days

# entry[].resource.item[].item[].item[].text
k. Acid reflux - Regurgitation of acid from stomach to throat

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Present but not exhibited in last 3 days

# entry[].resource.item[].item[].item[].text
l. Constipation - No bowel movement in 3 days or difficult passage of hard stool

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Present but not exhibited in last 3 days

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Present but not exhibited in last 3 days

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Present but not exhibited in last 3 days

# entry[].resource.item[].item[].item[].code[].display
o. Difficulty falling asleep or staying asleep; waking up too early; restless- ness; non-restful sleep

# entry[].resource.item[].item[].item[].text
o. Difficulty falling asleep or staying asleep; waking up too early; restless- ness; non-restful sleep

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Present but not exhibited in last 3 days

# entry[].resource.item[].item[].item[].code[].display
p. Too much sleep - Excessive amount of sleep that interferes with person’s normal functioning

# entry[].resource.item[].item[].item[].text
p. Too much sleep - Excessive amount of sleep that interferes with person’s normal functioning

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Present but not exhibited in last 3 days

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Present but not exhibited in last 3 days

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Present but not exhibited in last 3 days

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Present but not exhibited in last 3 days

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Present but not exhibited in last 3 days

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Present but not exhibited in last 3 days

# entry[].resource.item[].item[].answerOption[].valueCoding.display
1. Absent at rest but present when performed moderate activities

# entry[].resource.item[].item[].answerOption[].valueCoding.display
2. Absent at rest but present when performed normal day-to-day activities

# entry[].resource.item[].item[].code[].display
5. FATIGUE - Inability to complete normal daily activities - e.g., ADLs, IADLs

# entry[].resource.item[].item[].text
5. FATIGUE - Inability to complete normal daily activities - e.g., ADLs, IADLs

# entry[].resource.item[].item[].answerOption[].valueCoding.display
1. Minimal—Diminished energy but completes normal day-to-day activities

# entry[].resource.item[].item[].answerOption[].valueCoding.display
2. Moderate—Due to diminished energy, UNABLE TO FINISH normal day-to-day activities

# entry[].resource.item[].item[].answerOption[].valueCoding.display
3. Severe—Due to diminished energy, UNABLE TO START SOME normal day-to-day activities

# entry[].resource.item[].item[].answerOption[].valueCoding.display
4. Unable to commence any normal day-to-day activities—Due to diminished energy

# entry[].resource.item[].item[].item[].text
Inability to complete normal daily activities - e.g., ADLs, IADLs

# entry[].resource.item[].item[].item[].text
[Note: Always ask the person about pain frequency, intensity, and control. Observe person and ask others who are in contact with the person.]

# entry[].resource.item[].item[].item[].code[].display
a. Frequency with which person complains or shows evidence of pain

# entry[].resource.item[].item[].item[].text
a. Frequency with which person complains or shows evidence of pain (including grimacing, teeth clenching, moaning, withdrawal when touched, or other non-verbal signs suggesting pain)

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Present recently but not exhibited in last 3 days

# entry[].resource.item[].item[].item[].code[].display
b. Intensity of highest level of pain present

# entry[].resource.item[].item[].item[].text
b. Intensity of highest level of pain present

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
4. Times when pain is horrible or excruciating

# entry[].resource.item[].item[].item[].text
d. Breakthrough pain - Times in LAST 3 DAYS when person experienced sudden, acute flare-ups of pain

# entry[].resource.item[].item[].item[].text
e. Pain control - Adequacy of current therapeutic regimen to control pain (from person's point of view)

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Pain intensity acceptable to person; no treatment regimen or change in regimen required

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
2. Controlled adequately by therapeutic regimen

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
3. Controlled when therapeutic regimen followed, but regimen not always followed as ordered

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
4. Therapeutic regimen followed, but pain control not adequate

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
5. No therapeutic regimen being followed for pain; pain not adequately controlled

# entry[].resource.item[].item[].item[].code[].display
a. Conditions/diseases make cognitive, AD, mood, or behaviour patterns unstable

# entry[].resource.item[].item[].item[].text
a. Conditions/diseases make cognitive, AD, mood, or behaviour patterns unstable

# entry[].resource.item[].item[].item[].code[].display
b. Experiencing an acute episode or flare up of a recurrent or chronic problem

# entry[].resource.item[].item[].item[].text
b. Experiencing an acute episode or flare up of a recurrent or chronic problem

# entry[].resource.item[].item[].item[].code[].display
c. End-stage disease, 6 or fewer months to live

# entry[].resource.item[].item[].item[].text
c. End-stage disease, 6 or fewer months to live

# entry[].resource.item[].item[].code[].display
SELF-REPORTED HEALTH - Ask: "In general, how would you rate your health?"

# entry[].resource.item[].item[].text
8. SELF-REPORTED HEALTH - Ask: "In general, how would you rate your health?"

# entry[].resource.item[].item[].item[].text
Ask: "In general, how would you rate your health?"

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Not in last 3 days but is usually a daily smoker

# entry[].resource.item[].item[].item[].text
b. Alcohol-Highest number of drinks in any 'single sitting' in LAST 14 DAYS

# entry[].resource.item[].item[].item[].text
"Record (a.) height in centimetres and (b.) weight in kilograms. Base weight on most recent measure in LAST 30 DAYS."

# entry[].resource.item[].item[].item[].code[].display
a. Weight loss of 5% or more in LAST 30 DAYS, or 10% or more in LAST 180 DAYS

# entry[].resource.item[].item[].item[].text
a. Weight loss of 5% or more in LAST 30 DAYS, or 10% or more in LAST 180 DAYS

# entry[].resource.item[].item[].item[].code[].display
c. Fluid intake less than 1,000ml per day

# entry[].resource.item[].item[].item[].text
c. Fluid intake less than 1,000ml per day

# entry[].resource.item[].item[].answerOption[].valueCoding.display
1. Modified independent—e.g., liquid is sipped, takes limited solid food; need for modification may be unknown

# entry[].resource.item[].item[].answerOption[].valueCoding.display
2. Requires diet modification to swallow solid food—e.g., mechanical diet (puree, minced, etc.) or only able to ingest specific foods

# entry[].resource.item[].item[].answerOption[].valueCoding.display
3. Requires modification to swallow liquids—e.g., thickened liquids

# entry[].resource.item[].item[].answerOption[].valueCoding.display
4. Can swallow only pureed solids AND thickened liquids

# entry[].resource.item[].item[].answerOption[].valueCoding.display
5. Combined oral and parenteral or oral and tube feeding

# entry[].resource.item[].item[].answerOption[].valueCoding.display
7. Abdominal feeding tube only—e.g., PEG tube

# entry[].resource.item[].item[].answerOption[].valueCoding.display
8. Parenteral feeding only—Includes all types of parenteral feedings, such as total parenteral nutrition (TPN)

# entry[].resource.item[].item[].answerOption[].valueCoding.display
9. Activity did not occur—During entire period

# entry[].resource.item[].item[].code[].display
PARENTERAL OR ENTERAL INTAKE - The proportion of TOTAL CALORIES received through parenteral or tube feedings in the LAST 3 DAYS

# entry[].resource.item[].item[].text
4. PARENTERAL OR ENTERAL INTAKE - The proportion of TOTAL CALORIES received through parenteral or tube feedings in the LAST 3 DAYS

# entry[].resource.item[].item[].answerOption[].valueCoding.display
1. Parenteral / enteral tube, but no caloric intake

# entry[].resource.item[].item[].answerOption[].valueCoding.display
2. 1–25% of total calories through device

# entry[].resource.item[].item[].answerOption[].valueCoding.display
3. 26% or more of total calories through device

# entry[].resource.item[].item[].item[].text
The proportion of TOTAL CALORIES received through parenteral or tube feedings in the LAST 3 DAYS

# entry[].resource.item[].item[].item[].code[].display
a. Wears a denture (removable prosthesis)

# entry[].resource.item[].item[].item[].text
a. Wears a denture (removable prosthesis)

# entry[].resource.item[].item[].item[].code[].display
b. Has broken, fragmented, loose, or otherwise nonintact natural teeth

# entry[].resource.item[].item[].item[].text
b. Has broken, fragmented, loose, or otherwise nonintact natural teeth

# entry[].resource.item[].item[].item[].code[].display
c. Reports mouth or facial pain / discomfort

# entry[].resource.item[].item[].item[].text
c. Reports mouth or facial pain / discomfort

# entry[].resource.item[].item[].item[].code[].display
f. Presents with gum (soft tissue) inflammation or bleeding adjacent to natural teeth or tooth fragments

# entry[].resource.item[].item[].item[].text
f. Presents with gum (soft tissue) inflammation or bleeding adjacent to natural teeth or tooth fragments

# entry[].resource.item[].item[].answerOption[].valueCoding.display
4. Breaks in skin exposing muscle or bone

# entry[].resource.item[].item[].answerOption[].valueCoding.display
5. Not codeable—necrotic eschar predominant

# entry[].resource.item[].item[].answerOption[].valueCoding.display
6. Not codeable—suspected deep tissue injury, depth unknown

# entry[].resource.item[].item[].code[].display
Presence of skin ulcer other than pressure ulcer - e.g., venous ulcer, arterial ulcer, mixed venous-arterial ulcer, diabetic foot ulcer

# entry[].resource.item[].item[].text
3. Presence of skin ulcer other than pressure ulcer - e.g., venous ulcer, arterial ulcer, mixed venous-arterial ulcer, diabetic foot ulcer

# entry[].resource.item[].item[].code[].display
4. Major skin problems - e.g., lesions, 2nd- or 3rd-degree burns, healing surgical wounds

# entry[].resource.item[].item[].text
4. Major skin problems - e.g., lesions, 2nd- or 3rd-degree burns, healing surgical wounds

# entry[].resource.item[].item[].text
5. Skin tears or cuts - other than surgery

# entry[].resource.item[].item[].code[].display
Other skin conditions or changes in skin condition

# entry[].resource.item[].item[].text
6. Other skin conditions or changes in skin condition - e.g., bruises, rashes, itching, mottling, herpes zoster, intertrigo, eczema

# entry[].resource.item[].item[].code[].display
Foot problems - e.g., bunions, hammertoes, overlapping toes, structural problems, infections, ulcers

# entry[].resource.item[].item[].text
7. Foot problems - e.g., bunions, hammertoes, overlapping toes, structural problems, infections, ulcers

# entry[].resource.item[].item[].answerOption[].valueCoding.display
1. Foot problems, no limitation in walking

# entry[].resource.item[].item[].answerOption[].valueCoding.display
4. Foot problems; does not walk for other reasons

# entry[].resource.item[].item[].code[].display
Average time involved in activities - e.g., alone, in social group. [Note: When awake and not receiving treatments or ADL care]

# entry[].resource.item[].item[].text
1. Average time involved in activities - e.g., alone, in social group. [Note: When awake and not receiving treatments or ADL care]

# entry[].resource.item[].item[].code[].display
2. Activity preferences and involvement (Adapted to current abilities)

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
0. No preference, not involved in last 3 days

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. No preference, involved in last 3 days

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
3. Preferred, regularly involved but not in last 3 days

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
0. No preference, not involved in last 3 days

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. No preference, involved in last 3 days

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
3. Preferred, regularly involved but not in last 3 days

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
0. No preference, not involved in last 3 days

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. No preference, involved in last 3 days

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
3. Preferred, regularly involved but not in last 3 days

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
0. No preference, not involved in last 3 days

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. No preference, involved in last 3 days

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
3. Preferred, regularly involved but not in last 3 days

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
0. No preference, not involved in last 3 days

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. No preference, involved in last 3 days

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
3. Preferred, regularly involved but not in last 3 days

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
0. No preference, not involved in last 3 days

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. No preference, involved in last 3 days

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
3. Preferred, regularly involved but not in last 3 days

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
0. No preference, not involved in last 3 days

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. No preference, involved in last 3 days

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
3. Preferred, regularly involved but not in last 3 days

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
0. No preference, not involved in last 3 days

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. No preference, involved in last 3 days

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
3. Preferred, regularly involved but not in last 3 days

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
0. No preference, not involved in last 3 days

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. No preference, involved in last 3 days

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
3. Preferred, regularly involved but not in last 3 days

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
0. No preference, not involved in last 3 days

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. No preference, involved in last 3 days

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
3. Preferred, regularly involved but not in last 3 days

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
0. No preference, not involved in last 3 days

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. No preference, involved in last 3 days

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
3. Preferred, regularly involved but not in last 3 days

# entry[].resource.item[].item[].item[].code[].display
l. Reading, writing, or crossword puzzles

# entry[].resource.item[].item[].item[].text
l. Reading, writing, or crossword puzzles

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
0. No preference, not involved in last 3 days

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. No preference, involved in last 3 days

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
3. Preferred, regularly involved but not in last 3 days

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
0. No preference, not involved in last 3 days

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. No preference, involved in last 3 days

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
3. Preferred, regularly involved but not in last 3 days

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
0. No preference, not involved in last 3 days

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. No preference, involved in last 3 days

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
3. Preferred, regularly involved but not in last 3 days

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
0. No preference, not involved in last 3 days

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. No preference, involved in last 3 days

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
3. Preferred, regularly involved but not in last 3 days

# entry[].resource.item[].item[].item[].code[].display
p. Watching television, listening to radio, listening to music

# entry[].resource.item[].item[].item[].text
p. Watching television, listening to radio, listening to music

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
0. No preference, not involved in last 3 days

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. No preference, involved in last 3 days

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
3. Preferred, regularly involved but not in last 3 days

# entry[].resource.item[].item[].answerOption[].valueCoding.display
0. Awake all or most of the time (no more than one nap in the morning or afternoon)

# entry[].resource.item[].item[].answerOption[].valueCoding.display
2. Asleep most of the time, but some periods awake and alert (e.g., at meals)

# entry[].resource.item[].item[].item[].text
"List all active prescriptions, and any non-prescribed (over-the-counter) medications taken in the LAST 3 DAYS [Note: Use computerized records if possible, hand enter only when absolutely necessary.] For each drug record a - g:"

# entry[].resource.item[].item[].item[].item[].text
b. Dose - A positive number such as 0.5, 5, 150, 300.

# entry[].resource.item[].item[].item[].item[].item[].text
[Note: Never write a zero by itself after a decimal point (X mg). Always use a zero before a decimal point (0.X mg).]

# entry[].resource.item[].item[].item[].item[].text
c. Unit - Code using the following list:

# entry[].resource.item[].item[].item[].item[].text
d. Route of administration - Code using the following list:

# entry[].resource.item[].item[].item[].item[].text
e. Frequency - Code the number of times per day, week, or month the medication is administered using the following list:

# entry[].resource.item[].item[].item[].item[].answerOption[].valueCoding.display
BID (2 times daily; including every 12 hours)

# entry[].resource.item[].item[].item[].item[].text
b. Dose - A positive number such as 0.5, 5, 150, 300.

# entry[].resource.item[].item[].item[].item[].item[].text
[Note: Never write a zero by itself after a decimal point (X mg). Always use a zero before a decimal point (0.X mg).]

# entry[].resource.item[].item[].item[].item[].text
c. Unit - Code using the following list:

# entry[].resource.item[].item[].item[].item[].text
d. Route of administration - Code using the following list:

# entry[].resource.item[].item[].item[].item[].text
e. Frequency - Code the number of times per day, week, or month the medication is administered using the following list:

# entry[].resource.item[].item[].item[].item[].answerOption[].valueCoding.display
BID (2 times daily; including every 12 hours)

# entry[].resource.item[].item[].item[].item[].text
b. Dose - A positive number such as 0.5, 5, 150, 300.

# entry[].resource.item[].item[].item[].item[].item[].text
[Note: Never write a zero by itself after a decimal point (X mg). Always use a zero before a decimal point (0.X mg).]

# entry[].resource.item[].item[].item[].item[].text
c. Unit - Code using the following list:

# entry[].resource.item[].item[].item[].item[].text
d. Route of administration - Code using the following list:

# entry[].resource.item[].item[].item[].item[].text
e. Frequency - Code the number of times per day, week, or month the medication is administered using the following list:

# entry[].resource.item[].item[].item[].item[].answerOption[].valueCoding.display
BID (2 times daily; including every 12 hours)

# entry[].resource.item[].item[].item[].item[].text
b. Dose - A positive number such as 0.5, 5, 150, 300.

# entry[].resource.item[].item[].item[].item[].item[].text
[Note: Never write a zero by itself after a decimal point (X mg). Always use a zero before a decimal point (0.X mg).]

# entry[].resource.item[].item[].item[].item[].text
c. Unit - Code using the following list:

# entry[].resource.item[].item[].item[].item[].text
d. Route of administration - Code using the following list:

# entry[].resource.item[].item[].item[].item[].text
e. Frequency - Code the number of times per day, week, or month the medication is administered using the following list:

# entry[].resource.item[].item[].item[].item[].answerOption[].valueCoding.display
BID (2 times daily; including every 12 hours)

# entry[].resource.item[].item[].item[].item[].text
b. Dose - A positive number such as 0.5, 5, 150, 300.

# entry[].resource.item[].item[].item[].item[].item[].text
[Note: Never write a zero by itself after a decimal point (X mg). Always use a zero before a decimal point (0.X mg).]

# entry[].resource.item[].item[].item[].item[].text
c. Unit - Code using the following list:

# entry[].resource.item[].item[].item[].item[].text
d. Route of administration - Code using the following list:

# entry[].resource.item[].item[].item[].item[].text
e. Frequency - Code the number of times per day, week, or month the medication is administered using the following list:

# entry[].resource.item[].item[].item[].item[].answerOption[].valueCoding.display
BID (2 times daily; including every 12 hours)

# entry[].resource.item[].item[].item[].item[].text
b. Dose - A positive number such as 0.5, 5, 150, 300.

# entry[].resource.item[].item[].item[].item[].item[].text
[Note: Never write a zero by itself after a decimal point (X mg). Always use a zero before a decimal point (0.X mg).]

# entry[].resource.item[].item[].item[].item[].text
c. Unit - Code using the following list:

# entry[].resource.item[].item[].item[].item[].text
d. Route of administration - Code using the following list:

# entry[].resource.item[].item[].item[].item[].text
e. Frequency - Code the number of times per day, week, or month the medication is administered using the following list:

# entry[].resource.item[].item[].item[].item[].answerOption[].valueCoding.display
BID (2 times daily; including every 12 hours)

# entry[].resource.item[].item[].item[].item[].text
b. Dose - A positive number such as 0.5, 5, 150, 300.

# entry[].resource.item[].item[].item[].item[].item[].text
[Note: Never write a zero by itself after a decimal point (X mg). Always use a zero before a decimal point (0.X mg).]

# entry[].resource.item[].item[].item[].item[].text
c. Unit - Code using the following list:

# entry[].resource.item[].item[].item[].item[].text
d. Route of administration - Code using the following list:

# entry[].resource.item[].item[].item[].item[].text
e. Frequency - Code the number of times per day, week, or month the medication is administered using the following list:

# entry[].resource.item[].item[].item[].item[].answerOption[].valueCoding.display
BID (2 times daily; including every 12 hours)

# entry[].resource.item[].item[].item[].item[].text
b. Dose - A positive number such as 0.5, 5, 150, 300.

# entry[].resource.item[].item[].item[].item[].item[].text
[Note: Never write a zero by itself after a decimal point (X mg). Always use a zero before a decimal point (0.X mg).]

# entry[].resource.item[].item[].item[].item[].text
c. Unit - Code using the following list:

# entry[].resource.item[].item[].item[].item[].text
d. Route of administration - Code using the following list:

# entry[].resource.item[].item[].item[].item[].text
e. Frequency - Code the number of times per day, week, or month the medication is administered using the following list:

# entry[].resource.item[].item[].item[].item[].answerOption[].valueCoding.display
BID (2 times daily; including every 12 hours)

# entry[].resource.item[].item[].item[].item[].text
b. Dose - A positive number such as 0.5, 5, 150, 300.

# entry[].resource.item[].item[].item[].item[].item[].text
[Note: Never write a zero by itself after a decimal point (X mg). Always use a zero before a decimal point (0.X mg).]

# entry[].resource.item[].item[].item[].item[].text
c. Unit - Code using the following list:

# entry[].resource.item[].item[].item[].item[].text
d. Route of administration - Code using the following list:

# entry[].resource.item[].item[].item[].item[].text
e. Frequency - Code the number of times per day, week, or month the medication is administered using the following list:

# entry[].resource.item[].item[].item[].item[].answerOption[].valueCoding.display
BID (2 times daily; including every 12 hours)

# entry[].resource.item[].item[].item[].item[].text
b. Dose - A positive number such as 0.5, 5, 150, 300.

# entry[].resource.item[].item[].item[].item[].item[].text
[Note: Never write a zero by itself after a decimal point (X mg). Always use a zero before a decimal point (0.X mg).]

# entry[].resource.item[].item[].item[].item[].text
c. Unit - Code using the following list:

# entry[].resource.item[].item[].item[].item[].text
d. Route of administration - Code using the following list:

# entry[].resource.item[].item[].item[].item[].text
e. Frequency - Code the number of times per day, week, or month the medication is administered using the following list:

# entry[].resource.item[].item[].item[].item[].answerOption[].valueCoding.display
BID (2 times daily; including every 12 hours)

# entry[].resource.item[].item[].item[].item[].text
b. Dose - A positive number such as 0.5, 5, 150, 300.

# entry[].resource.item[].item[].item[].item[].item[].text
[Note: Never write a zero by itself after a decimal point (X mg). Always use a zero before a decimal point (0.X mg).]

# entry[].resource.item[].item[].item[].item[].text
c. Unit - Code using the following list:

# entry[].resource.item[].item[].item[].item[].text
d. Route of administration - Code using the following list:

# entry[].resource.item[].item[].item[].item[].text
e. Frequency - Code the number of times per day, week, or month the medication is administered using the following list:

# entry[].resource.item[].item[].item[].item[].answerOption[].valueCoding.display
BID (2 times daily; including every 12 hours)

# entry[].resource.item[].item[].item[].item[].text
b. Dose - A positive number such as 0.5, 5, 150, 300.

# entry[].resource.item[].item[].item[].item[].item[].text
[Note: Never write a zero by itself after a decimal point (X mg). Always use a zero before a decimal point (0.X mg).]

# entry[].resource.item[].item[].item[].item[].text
c. Unit - Code using the following list:

# entry[].resource.item[].item[].item[].item[].text
d. Route of administration - Code using the following list:

# entry[].resource.item[].item[].item[].item[].text
e. Frequency - Code the number of times per day, week, or month the medication is administered using the following list:

# entry[].resource.item[].item[].item[].item[].answerOption[].valueCoding.display
BID (2 times daily; including every 12 hours)

# entry[].resource.item[].item[].item[].text
"[Note: Add additional lines, as necessary, for other drugs taken] [Abbreviations are country-specific for Unit, Route, Frequency]"

# entry[].resource.item[].item[].item[].text
g. Mammogram or breast exam in LAST 2 YEARS (for women)

# entry[].resource.item[].item[].item[].code[].display
h. Pneumovax vaccine in last 5 years or after age 65

# entry[].resource.item[].item[].item[].text
h. Pneumovax vaccine in LAST 5 YEARS or after age 65

# entry[].resource.item[].item[].code[].display
2. Treatments and programs received or scheduled in the last 3 days (or since last assessment if less than 3 days)

# entry[].resource.item[].item[].text
2. Treatments and programs received or scheduled in the last 3 days (or since last assessment if less than 3 days)

# entry[].resource.item[].item[].item[].code[].display
c. Infection control — e.g., isolation, quarantine

# entry[].resource.item[].item[].item[].text
c. Infection control — e.g., isolation, quarantine

# entry[].resource.item[].item[].item[].code[].display
m. Palliative care for chronic conditions

# entry[].resource.item[].item[].item[].text
m. Palliative care for chronic conditions

# entry[].resource.item[].item[].code[].display
3. Therapy/Nursing services in last 7 days - e.g., therapist or therapy assistant under direction of therapist

# entry[].resource.item[].item[].text
3. Therapy/Nursing services in last 7 days - e.g., therapist or therapy assistant under direction of therapist

# entry[].resource.item[].item[].item[].item[].code[].display
Physical therapy - days treatment scheduled

# entry[].resource.item[].item[].item[].item[].text
Physical therapy - Number of days treatment scheduled in the LAST 7 DAYS

# entry[].resource.item[].item[].item[].item[].code[].display
Physical therapy - days treatment administered

# entry[].resource.item[].item[].item[].item[].text
Physical therapy - Number of days treatment administered for 15 minutes or more

# entry[].resource.item[].item[].item[].item[].code[].display
Physical therapy - minutes treatment administered or ordered

# entry[].resource.item[].item[].item[].item[].text
Physical therapy - Total number of minutes provided in LAST 7 DAYS (or ordered if days administered = 0 and days scheduled > 0)

# entry[].resource.item[].item[].item[].item[].code[].display
Occupational therapy - days treatment scheduled

# entry[].resource.item[].item[].item[].item[].code[].display
Physical therapy - days treatment scheduled

# entry[].resource.item[].item[].item[].item[].text
Occupational therapy - Number of days treatment scheduled in the LAST 7 DAYS

# entry[].resource.item[].item[].item[].item[].code[].display
Occupational therapy - days treatment administered

# entry[].resource.item[].item[].item[].item[].code[].display
Physical therapy - days treatment administered

# entry[].resource.item[].item[].item[].item[].text
Occupational therapy - Number of days treatment administered for 15 minutes or more

# entry[].resource.item[].item[].item[].item[].code[].display
Occupational therapy - minutes treatment administered or ordered

# entry[].resource.item[].item[].item[].item[].code[].display
Physical therapy - minutes treatment administered or ordered

# entry[].resource.item[].item[].item[].item[].text
Occupational therapy - Total number of minutes provided in LAST 7 DAYS (or ordered if days administered = 0 and days scheduled > 0)

# entry[].resource.item[].item[].item[].code[].display
c. Speech-Language Therapy and Audiology Services

# entry[].resource.item[].item[].item[].text
c. Speech-Language Therapy and Audiology Services

# entry[].resource.item[].item[].item[].item[].code[].display
Speech-Language Therapy and Audiology Services - days treatment scheduled

# entry[].resource.item[].item[].item[].item[].code[].display
Physical therapy - days treatment scheduled

# entry[].resource.item[].item[].item[].item[].text
Speech-language pathology and audiology services - Number of days treatment scheduled in the LAST 7 DAYS

# entry[].resource.item[].item[].item[].item[].code[].display
Speech-Language Therapy and Audiology Services - days treatment administered

# entry[].resource.item[].item[].item[].item[].code[].display
Physical therapy - days treatment administered

# entry[].resource.item[].item[].item[].item[].text
Speech-Language Therapy and Audiology Services - Number of days treatment administered for 15 minutes or more

# entry[].resource.item[].item[].item[].item[].code[].display
Speech-Language Therapy and Audiology Services - minutes treatment administered or ordered

# entry[].resource.item[].item[].item[].item[].code[].display
Physical therapy - minutes treatment administered or ordered

# entry[].resource.item[].item[].item[].item[].text
Speech-Language Therapy and Audiology Services - Total number of minutes provided in LAST 7 DAYS (or ordered if days administered = 0 and days scheduled > 0)

# entry[].resource.item[].item[].item[].item[].code[].display
Respiratory therapy - days treatment scheduled

# entry[].resource.item[].item[].item[].item[].code[].display
Physical therapy - days treatment scheduled

# entry[].resource.item[].item[].item[].item[].text
Respiratory therapy - Number of days treatment scheduled in the LAST 7 DAYS

# entry[].resource.item[].item[].item[].item[].code[].display
Respiratory therapy - days treatment administered

# entry[].resource.item[].item[].item[].item[].code[].display
Physical therapy - days treatment administered

# entry[].resource.item[].item[].item[].item[].text
Respiratory therapy - Number of days treatment administered for 15 minutes or more

# entry[].resource.item[].item[].item[].item[].code[].display
Respiratory therapy - minutes treatment administered or ordered

# entry[].resource.item[].item[].item[].item[].code[].display
Physical therapy - minutes treatment administered or ordered

# entry[].resource.item[].item[].item[].item[].text
Respiratory therapy - Total number of minutes provided in LAST 7 DAYS (or ordered if days administered = 0 and days scheduled > 0)

# entry[].resource.item[].item[].item[].code[].display
e. Functional rehabilitation or walking program by licensed nurse

# entry[].resource.item[].item[].item[].text
e. Functional rehabilitation or walking program by licensed nurse

# entry[].resource.item[].item[].item[].item[].code[].display
Functional rehabilitation - days treatment scheduled

# entry[].resource.item[].item[].item[].item[].code[].display
Physical therapy - days treatment scheduled

# entry[].resource.item[].item[].item[].item[].text
Functional rehabilitation - Number of days treatment scheduled in the LAST 7 DAYS

# entry[].resource.item[].item[].item[].item[].code[].display
Functional rehabilitation - days treatment administered

# entry[].resource.item[].item[].item[].item[].code[].display
Physical therapy - days treatment administered

# entry[].resource.item[].item[].item[].item[].text
Functional rehabilitation - Number of days treatment administered for 15 minutes or more

# entry[].resource.item[].item[].item[].item[].code[].display
Functional rehabilitation - minutes treatment administered or ordered

# entry[].resource.item[].item[].item[].item[].code[].display
Physical therapy - minutes treatment administered or ordered

# entry[].resource.item[].item[].item[].item[].text
Functional rehabilitation - Total number of minutes provided in LAST 7 DAYS (or ordered if days administered = 0 and days scheduled > 0)

# entry[].resource.item[].item[].item[].item[].code[].display
Psychological therapy - days treatment scheduled

# entry[].resource.item[].item[].item[].item[].code[].display
Physical therapy - days treatment scheduled

# entry[].resource.item[].item[].item[].item[].text
Psychological therapies - Number of days treatment scheduled in the LAST 7 DAYS

# entry[].resource.item[].item[].item[].item[].code[].display
Psychological therapy - days treatment administered

# entry[].resource.item[].item[].item[].item[].code[].display
Physical therapy - days treatment administered

# entry[].resource.item[].item[].item[].item[].text
Psychological therapies - Number of days treatment administered for 15 minutes or more

# entry[].resource.item[].item[].item[].item[].code[].display
Psychological therapy - minutes treatment administered or ordered

# entry[].resource.item[].item[].item[].item[].code[].display
Physical therapy - minutes treatment administered or ordered

# entry[].resource.item[].item[].item[].item[].text
Psychological therapies - Total number of minutes provided in LAST 7 DAYS (or ordered if days administered = 0 and days scheduled > 0)

# entry[].resource.item[].item[].item[].text
Code for number of times in LAST 90 DAYS (or since last assessment if LESS THAN 90 DAYS)

# entry[].resource.item[].item[].item[].code[].display
a. In-patient acute care hospital with overnight stay

# entry[].resource.item[].item[].item[].text
a. In-patient acute care hospital with overnight stay

# entry[].resource.item[].item[].item[].code[].display
b. Emergency room / department visit (not counting overnight stay)

# entry[].resource.item[].item[].item[].text
b. Emergency room / department visit (not counting overnight stay)

# entry[].resource.item[].item[].code[].display
5. PHYSICIAN VISITS - Number of days in LAST 14 DAYS (or since admission if less than 14 days in facility) physician examined person. Include authorized assistant or practitioner. Enter 0 if none.

# entry[].resource.item[].item[].text
5. PHYSICIAN VISITS - Number of days in LAST 14 DAYS (or since admission if less than 14 days in facility) physician examined person. Include authorized assistant or practitioner. Enter 0 if none.

# entry[].resource.item[].item[].item[].text
"Number of days in LAST 14 DAYS (or since admission if less than 14 days in facility) physician examined person. Include authorized assistant or practitioner. Enter 0 if none."

# entry[].resource.item[].item[].code[].display
6. PHYSICIAN ORDERS - Number of days in LAST 14 DAYS (or since admission if less than 14 days in facility) physician changed person's orders. Include authorized assistant or practitioner. Do not include order renewals without changes. Enter 0 if none.

# entry[].resource.item[].item[].text
6. PHYSICIAN ORDERS - Number of days in LAST 14 DAYS (or since admission if less than 14 days in facility) physician changed person's orders. Include authorized assistant or practitioner. Do not include order renewals without changes. Enter 0 if none.

# entry[].resource.item[].item[].item[].text
"Number of days in LAST 14 DAYS (or since admission if less than 14 days in facility) physician changed person's orders. Include authorized assistant or practitioner. Do not include order renewals without changes. Enter 0 if none."

# entry[].resource.item[].item[].item[].code[].display
a. Full bed rails on all open sides of bed

# entry[].resource.item[].item[].item[].text
a. Full bed rails on all open sides of bed

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
4. Used nights and days, but not constant

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
5. Constant use for full 24 hours (may include periodic releases)

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
4. Used nights and days, but not constant

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
5. Constant use for full 24 hours (may include periodic releases)

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
4. Used nights and days, but not constant

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
5. Constant use for full 24 hours (may include periodic releases)

# entry[].resource.item[].code[].display
SECTION P. Responsibility and Directives

# entry[].resource.item[].text
SECTION P. Responsibility and Directives

# entry[].resource.item[].item[].item[].code[].display
c. Enduring power of attorney / health care

# entry[].resource.item[].item[].item[].text
c. Enduring power of attorney / health care

# entry[].resource.item[].item[].item[].code[].display
d. Enduring power of attorney / financial

# entry[].resource.item[].item[].item[].text
d. Enduring power of attorney / financial

# entry[].resource.item[].item[].item[].code[].display
a. Advance directives for not resuscitating

# entry[].resource.item[].item[].item[].text
a. Advance directives for not resuscitating

# entry[].resource.item[].item[].item[].code[].display
b. Advance directives for not intubating

# entry[].resource.item[].item[].item[].text
b. Advance directives for not intubating

# entry[].resource.item[].item[].item[].code[].display
c. Advance directives for not hospitalizing

# entry[].resource.item[].item[].item[].text
c. Advance directives for not hospitalizing

# entry[].resource.item[].item[].item[].code[].display
d. Advance directives for no tube feeding

# entry[].resource.item[].item[].item[].text
d. Advance directives for no tube feeding

# entry[].resource.item[].item[].item[].code[].display
e. Advance directives for medication restrictions

# entry[].resource.item[].item[].item[].text
e. Advance directives for medication restrictions

# entry[].resource.item[].item[].item[].code[].display
f. Advance directives for other treatment restrictions

# entry[].resource.item[].item[].item[].text
f. Advance directives for other treatment restrictions

# entry[].resource.item[].item[].item[].code[].display
g. Advance directives for comfort measures only

# entry[].resource.item[].item[].item[].text
g. Advance directives for comfort measures only

# entry[].resource.item[].item[].item[].code[].display
a. Expresses / indicates preference to return to or remain in community

# entry[].resource.item[].item[].item[].text
a. Expresses / indicates preference to return to or remain in community

# entry[].resource.item[].item[].item[].code[].display
b. Has a support person who is positive toward discharge or maintaining residence in community

# entry[].resource.item[].item[].item[].text
b. Has a support person who is positive toward discharge or maintaining residence in community

# entry[].resource.item[].item[].code[].display
How long person is expected to stay in the current setting or under the care of this service prior to discharge to community

# entry[].resource.item[].item[].text
2. How long person is expected to stay in the current setting or under the care of this service prior to discharge to community (count from assessment reference date, including that day)

# entry[].resource.item[].item[].text
2. Residential/Living status after discharge

# entry[].resource.item[].item[].answerOption[].valueCoding.display
1. Private residence - owned/purchasing - Client owns/is purchasing - Family member or related person owns/is purchasing

# entry[].resource.item[].item[].answerOption[].valueCoding.display
3. Private residence - public rental or community housing; indigenous community / settlement

# entry[].resource.item[].item[].answerOption[].valueCoding.display
4. Independent living within retirement village

# entry[].resource.item[].item[].answerOption[].valueCoding.display
5. Boarding house / rooming house / private hostel

# entry[].resource.item[].item[].answerOption[].valueCoding.display
7. Short-term crisis, emergency, or transactional accommodation

# entry[].resource.item[].item[].answerOption[].valueCoding.display
8. Mental health residence—e.g., psychiatric group home

# entry[].resource.item[].item[].answerOption[].valueCoding.display
9. Group home for persons with physical disability

# entry[].resource.item[].item[].answerOption[].valueCoding.display
10. Setting for persons with intellectual disability

# entry[].resource.item[].item[].answerOption[].valueCoding.display
11. Residential aged care service - low-level care

# entry[].resource.item[].item[].answerOption[].valueCoding.display
12. Residential aged care service - high-level care

# entry[].resource.item[].item[].answerOption[].valueCoding.display
14. Hospice facility / palliative care unit

# entry[].resource.item[].item[].code[].display
Scheduled to receive home care services at discharge

# entry[].resource.item[].item[].text
3. Scheduled to receive home care services at discharge

# entry[].resource.item[].item[].code[].display
Signature of person coordinating/completing the assessment

# entry[].resource.item[].item[].text
1. Signature of person coordinating/completing the assessment

# entry[].resource.contained[].description
Preferred value set for Condition Clinical Status.

# entry[].resource.extension[].extension[].valueString
The patient that is to be used to pre-populate the form

# entry[].resource.extension[].extension[].valueString
The practitioner user that is to be used to pre-populate the form

# entry[].resource.item[].item[].item[].text
Pulses (Bounding +++, Normal ++, Diminished +, Absent 0)

# entry[].resource.item[].item[].item[].text
Ankle Brachial Index (ABI) (This must be known prior to compression bandaging)

# entry[].resource.contained[].description
Preferred value set for Condition Clinical Status.

# entry[].resource.extension[].extension[].valueString
The patient that is to be used to pre-populate the form

# entry[].resource.extension[].extension[].valueString
The practitioner user that is to be used to pre-populate the form

# entry[].resource.item[].text
Pain measure (Without upper, lower bounds and step values)

# entry[].resource.extension[].extension[].valueString
The encounter that is to be used to pre-populate the form

# entry[].resource.extension[].extension[].valueString
The patient that is to be used to pre-populate the form

# entry[].resource.extension[].extension[].valueString
The patient that is to be used to pre-populate the form

# entry[].resource.extension[].extension[].valueString
The practitioner user that is to be used to pre-populate the form

# entry[].resource.copyright
CSIRO © 2022+; Licensed under Apache License, Version 2.0

# entry[].resource.item[].extension[].valueExpression.expression
iif(%patient.gender = 'unknown' or %patient.gender.empty(), 9, 0)

# entry[].resource.item[].item[].item[].item[].text
Use this item to represent the examination procedure as a single field.

# entry[].resource.item[].item[].item[].item[]._text.extension[].valueString
Use this item to represent the examination procedure as a single field.

# entry[].resource.item[].item[].item[].item[].text
Use this groups of items to represent the examination procedure as multiple components.

# entry[].resource.item[].item[].item[].item[]._text.extension[].valueString
Use this groups of items to represent the examination procedure as multiple components.

# entry[].resource.item[].item[].item[]._text.extension[].valueString
Total Score

# entry[].resource.item[].item[].item[].item[].extension[].valueCodeableConcept.text
A control where an axis is displayed between the high and low values and the control can be visually manipulated to select a value anywhere on the axis.

# entry[].resource.item[].item[].item[].item[].extension[].valueCodeableConcept.text
A control where an axis is displayed between the high and low values and the control can be visually manipulated to select a value anywhere on the axis.

# entry[].resource.item[].extension[].valueExpression.expression
%mentalscore + %historyscore + %visionscore + %toiletingscore + %transferscore + %mobilityscore

# entry[].resource.item[].item[].item[].text
Did the patient present to hospital with a fall or have they had a fall since admission?

# entry[].resource.item[].item[].item[].text
Has the patient fallen in the last 6 months?

# entry[].resource.item[].item[].item[].text
Does the patient require eyeglasses continually?

# entry[].resource.item[].item[].item[].text
Does the patient have glaucoma, cataracts or macular degeneration?

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
Complete Independence and Modified Independence - use of aids to be independent is allowed

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
Distant Supervision - one person easily or needs supervision for safety

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
Close Supervision - one strong skilled helper or two staff; physically can sit

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
Unable - no sitting balance, mechanical lift

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
Complete Independence and Modified Independence - may use any aid, e.g. walking stick

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
Distant Supervision - walks with help of one person (verbal or physical)

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
Close Supervision - eyes on and hands ready at all times

# entry[].resource.item[].item[].code[].display
Anatomical location of macroscopically extent of invasion

# entry[].resource.item[].item[].text
Anatomical location of macroscopically extent of invasion

# entry[].resource.item[].item[].answerOption[].valueCoding.display
Involvement of other adjacent structures

# entry[].resource.item[].item[].item[].code[].display
Specified location of macroscopically extent of invasion

# entry[].resource.item[].item[].item[].text
Specified location of macroscopically extent of invasion

# entry[].resource.item[].item[].item[].enableWhen[].answerCoding.display
Involvement of other adjacent structures

# entry[].resource.item[].item[].code[].display
Histological type of non-invasive carcinoma

# entry[].resource.item[].item[].text
Histological type of non-invasive carcinoma

# entry[].resource.item[].item[].item[].text
Other histological type of non-invasive carcinoma

# entry[].resource.item[].item[].code[].display
Histological grade of urothelial carcinoma

# entry[].resource.item[].item[].text
Histological grade of urothelial carcinoma

# entry[].resource.item[].item[].code[].display
Histological grade of squamous cell carcinoma or adenocarcinoma

# entry[].resource.item[].item[].text
Histological grade of squamous cell carcinoma or adenocarcinoma

# entry[].resource.item[].item[].item[].code[].display
Other squamous cell carcinoma or adenocarcinoma

# entry[].resource.item[].item[].item[].text
Other squamous cell carcinoma or adenocarcinoma

# entry[].resource.item[].item[].code[].display
Specified location of microscopic extent in invasion

# entry[].resource.item[].item[].text
Specified location of microscopic extent in invasion

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
Tumor invades superficial muscularis propria (inner half)

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
Tumor invades deep muscularis propria (outer half)

# entry[].resource.item[].item[].item[].item[].code[].display
Other tumor involves adjacent structures

# entry[].resource.item[].item[].item[].item[].text
Other tumor involves adjacent structures

# entry[].resource.item[].item[].item[].text
Confirmation technique of involved margin in invasive carcinoma

# entry[].resource.item[].item[].item[].item[].text
Specified direct vision technique for involved margin in invasive carcinoma

# entry[].resource.item[].item[].item[].item[].text
Specified urethral side of involved margin in invasive carcinoma

# entry[].resource.item[].item[].item[].item[].code[].display
Other involved margin of invasive carcinoma

# entry[].resource.item[].item[].item[].item[].text
Other involved margin of invasive carcinoma

# entry[].resource.item[].item[].code[].display
Margin status of noninvasive premalignant neoplasm

# entry[].resource.item[].item[].text
Margin status of carcinoma in situ/non-invasive high-grade urothelial carcinoma

# entry[].resource.item[].item[].item[].text
Confirmation technique of involved margin in noninvasive premalignant neoplasm

# entry[].resource.item[].item[].item[].item[].text
Specified direct vision technique for involved margin in noninvasive premalignant neoplasm

# entry[].resource.item[].item[].item[].code[].display
Involved margin of noninvasive premalignant neoplasm

# entry[].resource.item[].item[].item[].text
Involved margin of noninvasive premalignant neoplasm

# entry[].resource.item[].item[].item[].item[].text
Specified urethral side of involved margin in noninvasive premalignant neoplasm

# entry[].resource.item[].item[].item[].item[].code[].display
Other involved margin of noninvasive premalignant neoplasm

# entry[].resource.item[].item[].item[].item[].text
Other involved margin of noninvasive premalignant neoplasm

# entry[].resource.item[].item[].text
Number of positive regional lymph nodes.

# entry[].resource.item[].item[].code[].display
Anatomical location of histologically confirmed distant metastases

# entry[].resource.item[].item[].text
Anatomical location of histologically confirmed distant metastases

# entry[].resource.contained[].compose.include[].concept[].display
Suspected deep tissue injury, depth unknown, so stated

# entry[].resource.contained[].expansion.contains[].display
Suspected deep tissue injury, depth unknown, so stated

# entry[].resource.extension[].extension[].valueString
The patient that is to be used to pre-populate the form

# entry[].resource.extension[].extension[].valueString
The practitioner user that is to be used to pre-populate the form

# entry[].resource.extension[].extension[].valueString
The encounter that is to be used to pre-populate the form

# entry[].resource.item[].item[].item[].extension[].valueExpression.expression
(%patient.name.where(use='official').select((family | (given | prefix).join(' ')).join(', ') | text) | %patient.name.where(use!='official').select((family | (given | prefix).join(' ')).join(', ') | text)).first()

# entry[].resource.item[].item[].item[].text
Absent from service for the entire quarter

# entry[].resource.item[].item[].item[].text
Withheld consent for pressure injury assessment for the entire quarter

# entry[].resource.item[].item[].item[].text
Pressure Injuries Classification List (active)

# entry[].resource.item[].item[].item[].item[].text
Acquired outside of service during quarter?

# entry[].resource.item[].item[].item[]._text.extension[].valueString
Mark section as complete

# entry[].resource.item[].item[].item[].text
Physical restraints present during assessment period

# entry[].resource.item[].item[].item[].item[].answerOption[].valueCoding.display
a. Full bed rails on all open sides of bed

# entry[].resource.item[].item[].item[].item[].answerOption[].valueCoding.display
4. Used nights and days, but not constant

# entry[].resource.item[].item[].item[].item[].answerOption[].valueCoding.display
5. Constant use for full 24 hours (may include periodic releases)

# entry[].resource.item[].item[].item[].text
Restrained through use of secure area during assessment period

# entry[].resource.item[].item[].item[]._text.extension[].valueString
Mark section as complete

# entry[].resource.item[].item[].item[]._text.extension[].valueString
Mark section as complete

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
0. Continent - Complete control; DOES NOT USE any type of catheter or other urinary collection device

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Control with any catheter or ostomy over last 3 days

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
2. Infrequently incontinent - Not incontinent over last 3 days, but does have incontinent episodes

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
3. Occasionally incontinent—Less than daily

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
4. Frequently incontinent—Daily, but some control present

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
8. Did not occur—No urine output from bladder in last 3 days

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
0. Continent - Complete control; DOES NOT USE any type of ostomy device

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
1. Control with ostomy - Control with ostomy over last 3 days

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
2. Infrequently incontinent - Not incontinent over last 3 days, but does have incontinent episodes

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
3. Occasionally incontinent — Less than daily

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
4. Frequently incontinent — Daily, but some control present

# entry[].resource.item[].item[].item[].answerOption[].valueCoding.display
8. Did not occur — No bowel movement in last 3 days

# entry[].resource.item[].item[].item[].item[].answerOption[].valueString
1A: Persistent redness without clinical signs of infection

# entry[].resource.item[].item[].item[].item[].answerOption[].valueString
1B: Persistent redness with clinical signs of infection

# entry[].resource.item[].item[].item[].item[].answerOption[].valueString
2A: Skin loss without clinical signs of infection

# entry[].resource.item[].item[].item[].item[].answerOption[].valueString
2B: Skin loss with clinical signs of infection

# entry[].resource.item[].item[].item[]._text.extension[].valueString
Mark section as complete

# entry[].resource.item[].item[].item[].item[].item[].answerOption[].valueString
Incontinent (or needs to be given enemata)

# entry[].resource.item[].item[].item[].item[].item[].extension[].valueExpression.expression
iif (%ADLBowels = 'Incontinent (or needs to be given enemata)', 0, (iif (%ADLBowels = 'Occasional accident (once per week)', 1, (iif(%ADLBowels = 'Continent', 2, {})))))

# entry[].resource.item[].item[].item[].item[].item[].answerOption[].valueString
Incontinent, or catheterised and unable to manage

# entry[].resource.item[].item[].item[].item[].item[].answerOption[].valueString
Occasional accident (max once per 24 hours)

# entry[].resource.item[].item[].item[].item[].item[].extension[].valueExpression.expression
iif (%ADLBladder = 'Incontinent, or catheterised and unable to manage', 0, (iif (%ADLBladder = 'Occasional accident (max once per 24 hours)', 1, (iif(%ADLBladder = 'Continent (for over 7 days)', 2, {})))))

# entry[].resource.item[].item[].item[]._text.extension[].valueString
Mark section as complete

# entry[].resource.contained[].description
The gender of a person used for administrative purposes.

# entry[].resource.contained[].copyright
Copyright © 2011+ HL7. Licensed under Creative Commons "No Rights Reserved".

# entry[].resource.item[].item[].item[].text
Type 'female' or 'male' into the Gender controller string field below.

# entry[].resource.contained[].description
The Medical History value set includes values that may be used to represent medical history, operations and hospital admissions.

# entry[].resource.contained[].description
Preferred value set for Condition Clinical Status.

# entry[].resource.contained[].copyright
Copyright © 2011+ HL7. Licensed under Creative Commons "No Rights Reserved".

# entry[].resource.extension[].extension[].valueString
The patient that is to be used to pre-populate the form

# entry[].resource.item[].item[].text
Medical history and current problems list

# entry[].resource.item[].item[]._text.extension[].valueString
Medical history and current problems list

This list includes items from the clinical record. If you wish to enter additional diagnoses, either update the clinical record and repopulate this form or add them to the "New diagnoses list" below and later update the clinical record as required.

# entry[].resource.text.div
Structure

LinkId | Text | Cardinality | Type | Flags | Description & Constraints
AgedCareCMSFacade | Aged Care CMS Facade. | | Questionnaire | | https://smartforms.csiro.au/ig/Questionnaire/AgedCareCMSFacade#0.1.0
tab-container | null | 0..1 | group | |
patient | Patient | 0..1 | group | |

patient-slk-value

SLK

0..1

string

Definition: Identifier.value
Expressions:

Calculated Value: iif(%patient.name.where(use='official').family.empty(), '999', (%familyNameSecondLetter + %familyNameThirdLetter + %familyNameFifthLetter).upper()) + iif(%patient.name.where(use='official').given[0].empty(), '99', (%givenNameSecondLetter + %givenNameThirdLetter).upper()) + %birthDateString.substring(6, 2) + %birthDateString.substring(4, 2) + %birthDateString.substring(0, 4) + (%genderMaleCode + %genderFemaleCode + %genderOtherCode + %genderUnknown).toString()

patient-slk-system

null

0..1

string

Definition: Identifier.system
Initial Value: uri = urn:oid:2.16.840.1.113883.3.879.750410

patient-mrn

MRN identifier

0..1

string

Expressions:

Initial Value: %patient.identifier.where(type.coding.exists(system='http://terminology.hl7.org/CodeSystem/v2-0203' and code='MR')).value

patient-name | Legal name | 0..1 | group | |

patient-name-family

Family name

0..1

string

Expressions:

Initial Value: %patient.name.where(use='official').select(family)

patient-name-given

First given name

0..1

string

Expressions:

Initial Value: %patient.name.where(use='official').select(given[0])

patient-name-additional-given

Additional given names

0..1

string

Expressions:

Initial Value: %patient.name.where(use='official').select(given.skip(1)).join(' ')

patient-name-prefix

Name prefix

0..1

string

Expressions:

Initial Value: %patient.name.where(use='official').select(prefix).join(' ')

patient-name-preferred

Preferred name

0..1

string

Expressions:

Initial Value: (%patient.name.where(use='usual').select((family | (given | prefix).join(' ')).join(', ').where($this != '') | text)).first()

patient-gender

Administrative gender

0..1

choice

Value Set: AdministrativeGender
Expressions:

Initial Value: %patient.gender

patient-dob

Date of birth

0..1

date

Expressions:

Initial Value: %patient.birthDate

patient-deceased

Deceased indicator

0..1

boolean

Expressions:

Initial Value: %patient.deceased.ofType(boolean)

patient-facility | Facility managing patient record | 0..1 | group | |

patient-facility-name

Managing organisation name

0..1

string

Expressions:

Initial Value: %patient.managingOrganization.display

patient-facility-identifier

Managing organization facility identifier assigned by Services Australia

0..1

string

Expressions:

Initial Value: %patient.managingOrganization.identifier.value

practitioner | Practitioner | 0..1 | group | |

practitioner-employee-number

Employee number

0..1

string

Expressions:

Initial Value: %user.identifier.where(type.coding.exists(system='http://terminology.hl7.org/CodeSystem/v2-0203' and code='EI')).value

practitioner-name | Legal name | 0..1 | group | |

practitioner-name-family

Family name

0..1

string

Expressions:

Initial Value: %user.name.where(use='official').select(family)

practitioner-name-given

First given name

0..1

string

Expressions:

Initial Value: %user.name.where(use='official').select(given[0])

practitioner-name-additional-given

Additional given names

0..1

string

Expressions:

Initial Value: %user.name.where(use='official').select(given.skip(1)).join(' ')

practitioner-name-prefix

Name prefix

0..1

string

Expressions:

Initial Value: %user.name.where(use='official').select(prefix).join(' ')

encounter | Encounter | 0..1 | group | |

encounter-description

Text description of encounter

0..1

text

Expressions:

Initial Value: %encounter.extension.where(url='http://hl7.org.au/fhir/StructureDefinition/encounter-description').value

encounter-class

Class

0..1

choice

Options: 1 option
Expressions:

Initial Value: %encounter.class

encounter-status

Status

0..1

choice

Options: 3 options
Expressions:

Initial Value: %encounter.status

encounter-periodstart

Period start

0..1

date

Expressions:

Initial Value: %encounter.period.start

encounter-periodend

Period end

0..1

date

Expressions:

Initial Value: %encounter.period.end

encounter-statushistory | Status history | 0..* | group | |

encounter-statushistory-status

Status

0..1

choice

Options: 2 options
Expressions:

Initial Value: %EncounterStatusHistory.status

encounter-statushistory-periodstart

Period start

0..1

date

Expressions:

Initial Value: %EncounterStatusHistory.period.start

encounter-statushistory-periodend

Period end

0..1

date

Expressions:

Initial Value: %EncounterStatusHistory.period.end

encounter-reason

Reason

0..*

choice

Options: 3 options
Expressions:

Initial Value: %encounter.reasonCode.coding

encounter-serviceprovider | Facility managing encounter | 0..1 | group | |

encounter-serviceprovider-name

Organisation name

0..1

string

Expressions:

Initial Value: %encounter.serviceProvider.display

encounter-serviceprovider-identifier

Organization facility identifier assigned by Services Australia

0..1

string

Expressions:

Initial Value: %encounter.serviceProvider.identifier.value

hospitalisation | Hospitalisation | 0..1 | group | |
hospitalisation-encounter | Hospitalisation encounter | 0..* | group | |

hospitalisation-encounter-description

Text description of encounter

0..1

text

Expressions:

Initial Value: %HospitalisationRepeat.extension.where(url='http://hl7.org.au/fhir/StructureDefinition/encounter-description').value

hospitalisation-encounter-class

Class

0..1

choice

Options: 3 options
Expressions:

Initial Value: %HospitalisationRepeat.class

hospitalisation-encounter-status

Status

0..1

choice

Options: 2 options
Expressions:

Initial Value: %HospitalisationRepeat.status

hospitalisation-encounter-periodstart

Period start

0..1

date

Expressions:

Initial Value: %HospitalisationRepeat.period.start

hospitalisation-encounter-periodend

Period end

0..1

date

Expressions:

Initial Value: %HospitalisationRepeat.period.end

hospitalisation-encounter-duration

Duration

0..1

integer

Expressions:

Initial Value: %HospitalisationRepeat.where(class.exists(code='IMP')).length.value.round(0)

hospitalisation-encounter-duration-unit | days | 0..1 | display | |

hospitalisation-encounter-reason

Reason

0..1

string

Expressions:

Initial Value: %HospitalisationRepeat.reasonCode.text

hospitalisation-encounter-serviceprovidername

Service provider name

0..1

string

Expressions:

Initial Value: %HospitalisationRepeat.serviceProvider.display

hospitalisation-encounter-serviceprovideridentifier

Service provider identifier

0..1

string

Expressions:

Initial Value: %HospitalisationRepeat.serviceProvider.identifier.value

medicalhistory | Medical history | 0..1 | group | |
medicalhistory-condition | Problem List Condition | 0..* | group | |

medicalhistory-condition-code

Condition code

0..1

choice

Value Set: Clinical Condition
Expressions:

Initial Value: %ProblemListItemRepeat.code.coding

medicalhistory-condition-text

Condition text

0..1

string

Expressions:

Initial Value: %ProblemListItemRepeat.code.text

medicalhistory-condition-clinicalstatus

Clinical status

0..1

choice

Value Set: Condition Clinical Status Codes
Expressions:

Initial Value: %ProblemListItemRepeat.clinicalStatus.coding

medicalhistory-condition-onsetdate

Onset date

0..1

dateTime

Expressions:

Initial Value: %ProblemListItemRepeat.onset.ofType(dateTime)

medicalhistory-condition-abatementdate

Abatement date

0..1

dateTime

Expressions:

Initial Value: %ProblemListItemRepeat.abatement.ofType(dateTime)

medicalhistory-condition-recordeddate

Recorded date

0..1

dateTime

Expressions:

Initial Value: %ProblemListItemRepeat.recordedDate

pressureinjuries | Pressure injuries | 0..1 | group | |
pressureinjuries-wound | Pressure injury wound | 0..* | group | |

pressureinjuries-wound-stage

Stage

0..1

choice

Options: 7 options
Expressions:

Initial Value: %PressureInjuryRepeat.stage.summary.coding

pressureinjuries-wound-stage-text

Stage text

0..1

string

Expressions:

Initial Value: %PressureInjuryRepeat.stage.summary.text

pressureinjuries-wound-clinicalstatus

Clinical status

0..1

choice

Value Set: Condition Clinical Status Codes
Expressions:

Initial Value: %PressureInjuryRepeat.clinicalStatus.coding

pressureinjuries-wound-onsetdate

Onset date

0..1

dateTime

Expressions:

Initial Value: %PressureInjuryRepeat.onset.ofType(dateTime)

pressureinjuries-wound-abatementdate

Abatement date

0..1

dateTime

Expressions:

Initial Value: %PressureInjuryRepeat.abatement.ofType(dateTime)

pressureinjuries-wound-recordeddate

Recorded date

0..1

dateTime

Expressions:

Initial Value: %PressureInjuryRepeat.recordedDate

pressureinjuries-wound-environmentacquired

Environment acquired

0..1

choice

Options: 3 options
Expressions:

Initial Value: %PressureInjuryRepeat.extension.where(url='https://smartforms.csiro.au/ig/StructureDefinition/ConditionEnvironmentAcquired').value.coding

pressureinjuries-wound-description

Description

0..1

text

Expressions:

Initial Value: %PressureInjuryRepeat.evidence.code.text

pressureinjuries-wound-bodysite

Body site

0..1

string

Expressions:

Initial Value: %PressureInjuryRepeat.bodySite.text

restrictivepractice | Restrictive practice | 0..1 | group | |
restrictivepractice-intervention | Restrictive practice intervention | 0..* | group | |

restrictivepractice-intervention-code

Code

0..1

choice

Options: 4 options
Expressions:

Initial Value: %RestrictivePracticeRepeat.code.coding

restrictivepractice-intervention-status

Status

0..1

choice

Options: 3 options
Expressions:

Initial Value: %RestrictivePracticeRepeat.status

restrictivepractice-intervention-performedstartdate

Performed start date

0..1

dateTime

Expressions:

Initial Value: %RestrictivePracticeRepeat.select(performed.start | performed.ofType(dateTime))

restrictivepractice-intervention-performedenddate

Performed end date

0..1

dateTime

Expressions:

Initial Value: %RestrictivePracticeRepeat.select(performed.end)

restrictivepractice-intervention-restraintsubtypecode-system

Restraint subtype code system

0..1

string

Expressions:

Initial Value: %RestrictivePracticeRepeat.usedCode.coding.system

restrictivepractice-intervention-restraintsubtypecode-code

Restraint subtype code code

0..1

string

Expressions:

Initial Value: %RestrictivePracticeRepeat.usedCode.coding.code

restrictivepractice-intervention-restraintsubtypecode-display

Restraint subtype code display

0..1

string

Expressions:

Initial Value: %RestrictivePracticeRepeat.usedCode.coding.display

restrictivepractice-intervention-restraintsubtypetext

Restraint subtype text

0..1

string

Expressions:

Initial Value: %RestrictivePracticeRepeat.usedCode.text

restrictivepractice-intervention-note | Note | 0..* | group | |

restrictivepractice-intervention-note-time

Time

0..1

dateTime

Expressions:

Initial Value: %RestrictivePracticeNoteRepeat.time

restrictivepractice-intervention-note-text

Text

0..1

text

Expressions:

Initial Value: %RestrictivePracticeNoteRepeat.text

bodyweight | Body weight | 0..1 | group | |
bodyweight-observation | Body weight observation | 0..* | group | |

bodyweight-observation-effectivedate

Effective date

0..1

dateTime

Expressions:

Initial Value: %WeightRepeat.effective.ofType(dateTime)

bodyweight-observation-value

Value

0..1

decimal

Expressions:

Initial Value: %WeightRepeat.value.ofType(Quantity).value

bodyweight-observation-unitcode

Unit code

0..1

choice

Options: 1 option
Expressions:

Initial Value: %WeightRepeat.value.ofType(Quantity).code

bodyweight-observation-issued

Issued

0..1

dateTime

Expressions:

Initial Value: %WeightRepeat.issued

continence | Continence | 0..1 | group | |
continence-urinary | Urinary continence | 0..1 | group | |

continence-urinary-effectivedate

Effective date

0..1

dateTime

Expressions:

Initial Value: %UrinaryContinence.entry.resource.effective.ofType(dateTime)

continence-urinary-code

Code

0..1

choice

Options: 5 options
Expressions:

Initial Value: %UrinaryContinence.entry.resource.value.coding

continence-urinary-text

Text

0..1

text

Expressions:

Initial Value: %UrinaryContinence.entry.resource.value.text

continence-urinary-issued

Issued

0..1

dateTime

Expressions:

Initial Value: %UrinaryContinence.entry.resource.issued

continence-bowel | Bowel continence | 0..1 | group | |

continence-bowel-effectivedate

Effective date

0..1

dateTime

Expressions:

Initial Value: %BowelContinence.entry.resource.effective.ofType(dateTime)

continence-bowel-code

Code

0..1

choice

Options: 5 options
Expressions:

Initial Value: %BowelContinence.entry.resource.value.coding

continence-bowel-text

Text

0..1

text

Expressions:

Initial Value: %BowelContinence.entry.resource.value.text

continence-bowel-issued

Issued

0..1

dateTime

Expressions:

Initial Value: %BowelContinence.entry.resource.issued

iad | Incontinence associated dermatitis | 0..1 | group | |
iad-wound | Incontinence associated dermatitis wound | 0..* | group | |

iad-wound-stage

Stage

0..1

choice

Options: 4 options
Expressions:

Initial Value: %IADRepeat.stage.summary.coding

iad-wound-stage-text

Stage text

0..1

string

Expressions:

Initial Value: %IADRepeat.stage.summary.text

iad-wound-clinicalstatus

Clinical status

0..1

choice

Value Set: Condition Clinical Status Codes
Expressions:

Initial Value: %IADRepeat.clinicalStatus.coding

iad-wound-onsetdate

Onset date

0..1

dateTime

Expressions:

Initial Value: %IADRepeat.onset.ofType(dateTime)

iad-wound-abatementdate

Abatement date

0..1

dateTime

Expressions:

Initial Value: %IADRepeat.abatement.ofType(dateTime)

iad-wound-recordeddate

Recorded date

0..1

dateTime

Expressions:

Initial Value: %IADRepeat.recordedDate

iad-wound-description

Description

0..1

text

Expressions:

Initial Value: %IADRepeat.evidence.code.text

iad-wound-bodysite

Body site

0..1

string

Expressions:

Initial Value: %IADRepeat.bodySite.text

barthel | Barthel index | 0..1 | group | |
barthel-modified | Modified Barthel index of activities of daily living score | 0..1 | group | |
barthel-modified-score | Modified Barthel index score | 0..1 | group | |

barthel-modified-effectivedate

Effective date

0..1

dateTime

Expressions:

Initial Value: %BarthelIndex.entry.resource.effective.ofType(dateTime)

barthel-modified-value

Value

0..1

integer

Expressions:

Initial Value: %BarthelIndex.entry.resource.value.value

barthel-modified-unitcode

Unit code

0..1

choice

Options: 1 option
Expressions:

Initial Value: %BarthelIndex.entry.resource.value.code

barthel-modified-issued

Issued

0..1

dateTime

Expressions:

Initial Value: %BarthelIndex.entry.resource.issued

barthel-components | Modified Barthel index of activities of daily living component questions | 0..1 | group | |
barthel-components-feeding | Feeding | 0..1 | group | |

barthel-components-feeding-code

Code

0..1

choice

Options: 1 option
Expressions:

Initial Value: %BarthelIndex.entry.resource.component[0].code.coding

barthel-components-feeding-value

Value

0..1

integer

Expressions:

Initial Value: %BarthelIndex.entry.resource.component[0].value.value

barthel-components-feeding-unitcode

Unit code

0..1

choice

Options: 1 option
Expressions:

Initial Value: %BarthelIndex.entry.resource.component[0].value.code

barthel-components-transfer | Transfer | 0..1 | group | |

barthel-components-transfer-code

Code

0..1

choice

Options: 1 option
Expressions:

Initial Value: %BarthelIndex.entry.resource.component[1].code.coding

barthel-components-transfer-value

Value

0..1

integer

Expressions:

Initial Value: %BarthelIndex.entry.resource.component[1].value.value

barthel-components-transfer-unitcode

Unit code

0..1

choice

Options: 1 option
Expressions:

Initial Value: %BarthelIndex.entry.resource.component[1].value.code

barthel-components-grooming | Grooming | 0..1 | group | |

barthel-components-grooming-code

Code

0..1

choice

Options: 1 option
Expressions:

Initial Value: %BarthelIndex.entry.resource.component[2].code.coding

barthel-components-grooming-value

Value

0..1

integer

Expressions:

Initial Value: %BarthelIndex.entry.resource.component[2].value.value

barthel-components-grooming-unitcode

Unit code

0..1

choice

Options: 1 option
Expressions:

Initial Value: %BarthelIndex.entry.resource.component[2].value.code

barthel-components-toiletuse | Toilet Use | 0..1 | group | |

barthel-components-toiletuse-code

Code

0..1

choice

Options: 1 option
Expressions:

Initial Value: %BarthelIndex.entry.resource.component[3].code.coding

barthel-components-toiletuse-value

Value

0..1

integer

Expressions:

Initial Value: %BarthelIndex.entry.resource.component[3].value.value

barthel-components-toiletuse-unitcode

Unit code

0..1

choice

Options: 1 option
Expressions:

Initial Value: %BarthelIndex.entry.resource.component[3].value.code

barthel-components-bathing | Bathing | 0..1 | group | |

barthel-components-bathing-code

Code

0..1

choice

Options: 1 option
Expressions:

Initial Value: %BarthelIndex.entry.resource.component[4].code.coding

barthel-components-bathing-value

Value

0..1

integer

Expressions:

Initial Value: %BarthelIndex.entry.resource.component[4].value.value

barthel-components-bathing-unitcode

Unit code

0..1

choice

Options: 1 option
Expressions:

Initial Value: %BarthelIndex.entry.resource.component[4].value.code

barthel-components-mobility | Mobility | 0..1 | group | |

barthel-components-mobility-code

Code

0..1

choice

Options: 1 option
Expressions:

Initial Value: %BarthelIndex.entry.resource.component[5].code.coding

barthel-components-mobility-value

Value

0..1

integer

Expressions:

Initial Value: %BarthelIndex.entry.resource.component[5].value.value

barthel-components-mobility-unitcode

Unit code

0..1

choice

Options: 1 option
Expressions:

Initial Value: %BarthelIndex.entry.resource.component[5].value.code

barthel-components-stairs | Stairs | 0..1 | group | |

barthel-components-stairs-code

Code

0..1

choice

Options: 1 option
Expressions:

Initial Value: %BarthelIndex.entry.resource.component[6].code.coding

barthel-components-stairs-value

Value

0..1

integer

Expressions:

Initial Value: %BarthelIndex.entry.resource.component[6].value.value

barthel-components-stairs-unitcode

Unit code

0..1

choice

Options: 1 option
Expressions:

Initial Value: %BarthelIndex.entry.resource.component[6].value.code

barthel-components-dressing | Dressing | 0..1 | group | |

barthel-components-dressing-code

Code

0..1

choice

Options: 1 option
Expressions:

Initial Value: %BarthelIndex.entry.resource.component[7].code.coding

barthel-components-dressing-value

Value

0..1

integer

Expressions:

Initial Value: %BarthelIndex.entry.resource.component[7].value.value

barthel-components-dressing-unitcode

Unit code

0..1

choice

Options: 1 option
Expressions:

Initial Value: %BarthelIndex.entry.resource.component[7].value.code

barthel-components-bowels | Bowels | 0..1 | group | |

barthel-components-bowels-code

Code

0..1

choice

Options: 1 option
Expressions:

Initial Value: %BarthelIndex.entry.resource.component[8].code.coding

barthel-components-bowels-value

Value

0..1

integer

Expressions:

Initial Value: %BarthelIndex.entry.resource.component[8].value.value

barthel-components-bowels-unitcode

Unit code

0..1

choice

Options: 1 option
Expressions:

Initial Value: %BarthelIndex.entry.resource.component[8].value.code

barthel-components-bladder | Bladder | 0..1 | group | |

barthel-components-bladder-code

Code

0..1

choice

Options: 1 option
Expressions:

Initial Value: %BarthelIndex.entry.resource.component[9].code.coding

barthel-components-bladder-value

Value

0..1

integer

Expressions:

Initial Value: %BarthelIndex.entry.resource.component[9].value.value

barthel-components-bladder-unitcode

Unit code

0..1

choice

Options: 1 option
Expressions:

Initial Value: %BarthelIndex.entry.resource.component[9].value.code

Documentation for this format

Option Sets

Answer options for encounter-class

http://terminology.hl7.org.au/CodeSystem/v3-ActCode#RACF

Answer options for encounter-status

http://hl7.org/fhir/encounter-status#in-progress ("In Progress")

http://hl7.org/fhir/encounter-status#onleave ("On Leave")

http://hl7.org/fhir/encounter-status#finished ("Finished")

Answer options for encounter-statushistory-status

http://hl7.org/fhir/encounter-status#in-progress ("In Progress")

http://hl7.org/fhir/encounter-status#onleave ("On Leave")

Answer options for encounter-reason

http://snomed.info/sct#410201001 ("Weight maintenance regimen management")

http://snomed.info/sct#103735009 ("Palliative care")

http://snomed.info/sct#423216003 ("End-of-life surveillance")

Answer options for hospitalisation-encounter-class

http://terminology.hl7.org.au/CodeSystem/v3-ActCode#IMP

http://terminology.hl7.org.au/CodeSystem/v3-ActCode#EMER

http://terminology.hl7.org.au/CodeSystem/v3-ActCode#SS

Answer options for hospitalisation-encounter-status

http://hl7.org/fhir/encounter-status#in-progress ("In Progress")

http://hl7.org/fhir/encounter-status#finished ("Finished")

Answer options for pressureinjuries-wound-stage

http://snomed.info/sct#1163217004 ("Pressure injury stage I")

http://snomed.info/sct#1163220007 ("Pressure injury stage II")

http://snomed.info/sct#1163222004 ("Pressure injury stage III")

http://snomed.info/sct#1163224003 ("Pressure injury stage IV")

http://snomed.info/sct#723071003 ("Deep tissue pressure injury")

http://snomed.info/sct#723073000 ("Suspected deep tissue pressure injury")

http://snomed.info/sct#1163226001 ("Unstageable pressure injury")

Answer options for pressureinjuries-wound-environmentacquired

http://snomed.info/sct#22232009 ("Hospital")

http://snomed.info/sct#285202004 ("Community environment")

http://snomed.info/sct#257652008 ("Aged care facility")

Answer options for restrictivepractice-intervention-code

http://snomed.info/sct#386423001 ("Physical restraint")

http://snomed.info/sct#90278001 ("Secluding patient")

http://snomed.info/sct#386517008 ("Area restriction (Environmental)")

http://snomed.info/sct#68894007 ("Placing restraint (Mechanical)")

Answer options for restrictivepractice-intervention-status

http://hl7.org/fhir/event-status#in-progress ("In Progress")

http://hl7.org/fhir/event-status#on-hold ("On Hold")

http://hl7.org/fhir/event-status#completed ("Completed")

Answer options for bodyweight-observation-unitcode

kg

Answer options for continence-urinary-code

http://loinc.org#LA126-5 ("CONTINENT-Complete control [includes use of indwelling urinary catheter or ostomy device that does not leak urine or stool]")

http://loinc.org#LA127-3 ("USUALLY CONTINENT-BLADDER, incontinent episodes once a week or less; BOWEL, less than weekly")

http://loinc.org#LA128-1 ("OCCASIONALLY INCONTINENT-BLADDER, 2 or more times a week but not daily; BOWEL, once a week")

http://loinc.org#LA129-9 ("FREQUENTLY INCONTINENT-BLADDER, tended to be incontinent daily, but some control present (e.g., on day shift); BOWEL, 2-3 times a week")

http://loinc.org#LA130-7 ("INCONTINENT-Had inadequate control BLADDER, multiple daily episodes; BOWEL, all (or almost all) of the time")

Answer options for continence-bowel-code

http://loinc.org#LA126-5 ("CONTINENT-Complete control [includes use of indwelling urinary catheter or ostomy device that does not leak urine or stool]")

http://loinc.org#LA127-3 ("USUALLY CONTINENT-BLADDER, incontinent episodes once a week or less; BOWEL, less than weekly")

http://loinc.org#LA128-1 ("OCCASIONALLY INCONTINENT-BLADDER, 2 or more times a week but not daily; BOWEL, once a week")

http://loinc.org#LA129-9 ("FREQUENTLY INCONTINENT-BLADDER, tended to be incontinent daily, but some control present (e.g., on day shift); BOWEL, 2-3 times a week")

http://loinc.org#LA130-7 ("INCONTINENT-Had inadequate control BLADDER, multiple daily episodes; BOWEL, all (or almost all) of the time")

Answer options for iad-wound-stage

http://snomed.info/sct#264653008 ("1A")

http://snomed.info/sct#264654002 ("1B")

http://snomed.info/sct#264662005 ("2A")

http://snomed.info/sct#264663000 ("2B")

Answer options for barthel-modified-unitcode

{score}

Answer options for barthel-components-feeding-code

http://loinc.org#83184-2 ("Feeding or eating - functional ability")

Answer options for barthel-components-feeding-unitcode

{score}

Answer options for barthel-components-transfer-code

http://loinc.org#83185-9 ("Transferring - functional ability")

Answer options for barthel-components-transfer-unitcode

{score}

Answer options for barthel-components-grooming-code

http://loinc.org#96767-9 ("Grooming - functional ability")

Answer options for barthel-components-grooming-unitcode

{score}

Answer options for barthel-components-toiletuse-code

http://loinc.org#83183-4 ("Toileting - functional ability")

Answer options for barthel-components-toiletuse-unitcode

{score}

Answer options for barthel-components-bathing-code

http://loinc.org#83181-8 ("Bathing - functional ability")

Answer options for barthel-components-bathing-unitcode

{score}

Answer options for barthel-components-mobility-code

http://loinc.org#83186-7 ("Ambulation - functional ability")

Answer options for barthel-components-mobility-unitcode

{score}

Answer options for barthel-components-stairs-code

http://loinc.org#96758-8 ("Stairs - functional ability")

Answer options for barthel-components-stairs-unitcode

{score}

Answer options for barthel-components-dressing-code

http://loinc.org#83182-6 ("Dressing - functional ability")

Answer options for barthel-components-dressing-unitcode

{score}

Answer options for barthel-components-bowels-code

http://loinc.org#96759-6 ("Bowel control - functional ability")

Answer options for barthel-components-bowels-unitcode

{score}

Answer options for barthel-components-bladder-code

http://loinc.org#96760-4 ("Bladder control - functional ability")

Answer options for barthel-components-bladder-unitcode

{score}

# entry[].resource.extension[].extension[].valueString
The patient that is to be used to pre-populate the form

# entry[].resource.extension[].extension[].valueString
The practitioner user that is to be used to pre-populate the form

# entry[].resource.extension[].extension[].valueString
The encounter that is to be used to pre-populate the form

# entry[].resource.copyright
CSIRO © 2022+; Licensed under Apache License, Version 2.0

# entry[].resource.item[].item[].extension[].valueExpression.expression
iif(%patient.gender = 'unknown' or %patient.gender.empty(), 9, 0)

# entry[].resource.item[].item[].item[].item[].text
Managing organization facility identifier assigned by Services Australia

# entry[].resource.item[].item[].item[].item[].text
Organization facility identifier assigned by Services Australia

# entry[].resource.item[].item[].item[].item[].answerOption[].valueCoding.display
CONTINENT-Complete control [includes use of indwelling urinary catheter or ostomy device that does not leak urine or stool]

# entry[].resource.item[].item[].item[].item[].answerOption[].valueCoding.display
USUALLY CONTINENT-BLADDER, incontinent episodes once a week or less; BOWEL, less than weekly

# entry[].resource.item[].item[].item[].item[].answerOption[].valueCoding.display
OCCASIONALLY INCONTINENT-BLADDER, 2 or more times a week but not daily; BOWEL, once a week

# entry[].resource.item[].item[].item[].item[].answerOption[].valueCoding.display
FREQUENTLY INCONTINENT-BLADDER, tended to be incontinent daily, but some control present (e.g., on day shift); BOWEL, 2-3 times a week

# entry[].resource.item[].item[].item[].item[].answerOption[].valueCoding.display
INCONTINENT-Had inadequate control BLADDER, multiple daily episodes; BOWEL, all (or almost all) of the time

# entry[].resource.item[].item[].item[].item[].answerOption[].valueCoding.display
CONTINENT-Complete control [includes use of indwelling urinary catheter or ostomy device that does not leak urine or stool]

# entry[].resource.item[].item[].item[].item[].answerOption[].valueCoding.display
USUALLY CONTINENT-BLADDER, incontinent episodes once a week or less; BOWEL, less than weekly

# entry[].resource.item[].item[].item[].item[].answerOption[].valueCoding.display
OCCASIONALLY INCONTINENT-BLADDER, 2 or more times a week but not daily; BOWEL, once a week

# entry[].resource.item[].item[].item[].item[].answerOption[].valueCoding.display
FREQUENTLY INCONTINENT-BLADDER, tended to be incontinent daily, but some control present (e.g., on day shift); BOWEL, 2-3 times a week

# entry[].resource.item[].item[].item[].item[].answerOption[].valueCoding.display
INCONTINENT-Had inadequate control BLADDER, multiple daily episodes; BOWEL, all (or almost all) of the time

# entry[].resource.item[].item[].item[].text
Modified Barthel index of activities of daily living score

# entry[].resource.item[].item[].item[].text
Modified Barthel index of activities of daily living component questions

# entry[].resource.contained[].title
Aboriginal and/or Torres Strait Islander

# entry[].resource.contained[].description
The Aboriginal and/or Torres Strait Islander value set includes the Australian Indigenous statuses for Indigenous people.

# entry[].resource.contained[].expansion.contains[].display
Aboriginal but not Torres Strait Islander origin

# entry[].resource.contained[].expansion.contains[].display
Torres Strait Islander but not Aboriginal origin

# entry[].resource.contained[].expansion.contains[].display
Both Aboriginal and Torres Strait Islander origin

# entry[].resource.contained[].description
The Primary Carer Of Parent Or Grandparent value set includes values that can indicate whether a primary carer is one of the parents or a grandparent.

# entry[].resource.contained[].description
The gender of a person used for administrative purposes.

# entry[].resource.contained[].copyright
Copyright © 2011+ HL7. Licensed under Creative Commons "No Rights Reserved".

# entry[].resource.contained[].description
The Australian Pronouns value set includes values that indicate the pronouns to be used when communicating with or about an individual.

# entry[].resource.contained[].copyright
Copyright © 2024 Australian Digital Health Agency - All rights reserved. Except for the material identified below, this content is licensed under a Creative Commons Attribution 4.0 International License. See https://creativecommons.org/licenses/by/4.0/. 

This material contains content from LOINC (http://loinc.org). LOINC is copyright 1995-2024, Regenstrief Institute, Inc. and the Logical Observation Identifiers Names and Codes (LOINC) Committee and is available at no cost under the license at http://loinc.org/license. LOINC® is a registered United States trademark of Regenstrief Institute, Inc.

This material contains information which is protected by copyright. You may download, display, print and reproduce any material for your personal, non-commercial use or use within your organisation subject to the following terms and conditions: 

This resource also includes all or a portion of material from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.

# entry[].resource.contained[].description
The Gender Identity Response value set includes values that may be used to represent a response for an individual's gender. A person's gender is a social and cultural identity, expression and experience.

# entry[].resource.contained[].copyright
Copyright © 2022 Australian Digital Health Agency - All rights reserved. Except for the material identified below, this content is licensed under a Creative Commons Attribution 4.0 International License. See https://creativecommons.org/licenses/by/4.0/.

"This resource includes SNOMED Clinical Terms™ (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO). All rights reserved. SNOMED CT®, was originally created by The College of American Pathologists. “SNOMED” and “SNOMED CT” are registered trademarks of the IHTSDO. 

The rights to use and implement or implementation of SNOMED CT content are limited to the extent it is necessary to allow for the end use of this material.  No further rights are granted in respect of the International Release and no further use of any SNOMED CT content by any other party is permitted. 

This resource includes material that is based on Australian Institute of Health and Welfare material. This resource includes material that is based on Australian Bureau of Statistics data. 

This resource also includes all or a portion of material from the HL7 Terminology (THO). THO is copyright ©1989+ Health Level Seven International and is made available under the CC0 designation. For more licensing information see: https://terminology.hl7.org/license.

# entry[].resource.contained[].description
The Biological Sex value set includes values that represent the biological sex of an individual.

# entry[].resource.contained[].copyright
Copyright © 2020 Australian Digital Health Agency - All rights reserved. Except for the material identified below, this content is licensed under a Creative Commons Attribution 4.0 International License. See https://creativecommons.org/licenses/by/4.0/. 

This resource includes SNOMED Clinical Terms™ (SNOMED CT®) which is used by permission of the International Health Terminology Standards Development Organisation (IHTSDO). All rights reserved. SNOMED CT®, was originally created by The College of American Pathologists. “SNOMED” and “SNOMED CT” are registered trademarks of the IHTSDO. 

The rights to use and implement or implementation of SNOMED CT content are limited to the extent it is necessary to allow for the end use of this material.  No further rights are granted in respect of the International Release and no further use of any SNOMED CT content by any other party is permitted. 

All copies of this resource must include this copyright statement and all information contained in this statement.

# entry[].resource.contained[].description
The Australian States and Territories value set includes values that represent the Australian states and territories.

# entry[].resource.contained[].copyright
Copyright © 2018 Australian Digital Health Agency - All rights reserved. Except for the material identified below, this content is licensed under a Creative Commons Attribution 4.0 International License. See https://creativecommons.org/licenses/by/4.0/. 

This resource includes material that is based on Australian Institute of Health and Welfare material. 

All copies of this resource must include this copyright statement and all information contained in this statement.

# entry[].resource.contained[].description
The Medical History value set includes values that may be used to represent medical history, operations and hospital admissions.

# entry[].resource.contained[].description
Preferred value set for Condition Clinical Status.

# entry[].resource.contained[].copyright
Copyright © 2011+ HL7. Licensed under Creative Commons "No Rights Reserved".

# entry[].resource.contained[].description
The Smoking Quit Status value set includes values that can indicate how long ago an individual quit smoking.

# entry[].resource.contained[].description
Concepts for Yes, No, Not Asked and Asked But Declined

# entry[].resource.contained[].description
The Cervical Screening Status value set includes values that can be used to represent the status of an individual's participation in a cervical screening program.

# entry[].resource.extension[].extension[].valueString
The patient that is to be used to pre-populate the form

# entry[].resource.extension[].extension[].valueString
The practitioner user that is to be used to pre-populate the form

# entry[].resource.extension[].extension[].valueString
The encounter that is to be used to pre-populate the form

# entry[].resource.description
Aboriginal and Torres Strait Islander Health Check assessment form.

# entry[].resource.copyright
Copyright © 2022+ Australian Government Department of Health and Aged Care - All rights reserved. This content is licensed under a Creative Commons Attribution-ShareAlike 4.0 International License. See https://creativecommons.org/licenses/by-sa/4.0/.

# entry[].resource.item[].item[].item[].text
Important: The patient record may not be updated with information entered here. Information intended for the patient record should be entered there first.

# entry[].resource.item[].item[].item[]._text.extension[].valueString
Important: The patient record may not be updated with information entered here. Information intended for the patient record should be entered there first.

# entry[].resource.item[].item[].item[].item[].text
not claimed 715 or 228 in past nine months

# entry[].resource.item[].item[].item[]._text.extension[].valueString
Mark section as complete

# entry[].resource.item[].item[].item[].text
Consent given after discussion of process and benefits of a health check

# entry[].resource.item[].item[].item[].text
Consent given by parent/primary carer after discussion of process and benefits of a health check

# entry[].resource.item[].item[].item[].item[].text
Parent/primary caregiver is present for health check?

# entry[].resource.item[].item[].item[].item[].text
Consent given for sharing of information with relevant healthcare providers?

# entry[].resource.item[].item[].item[].text
Aboriginal and/or Torres Strait Islander Health Worker / Health Practitioner

# entry[].resource.item[].item[].item[]._text.extension[].valueString
Mark section as complete

# entry[].resource.item[].item[].item[].text
Important: The patient record may not be updated with information entered here. Information intended for the patient record should be entered there first.

# entry[].resource.item[].item[].item[]._text.extension[].valueString
Important: The patient record may not be updated with information entered here. Information intended for the patient record should be entered there first.

# entry[].resource.item[].item[].item[].extension[].valueExpression.expression
(%patient.name.where(use='official').select((family | (given | prefix).join(' ')).join(', ').where($this != '') | text) | %patient.name.select((family | (given | prefix).join(' ')).join(', ').where($this != '') | text)).first()

# entry[].resource.item[].item[].item[].text
Aboriginal and/or Torres Strait Islander status

# entry[].resource.item[].item[].item[].extension[].valueExpression.expression
%patient.telecom.where(system = 'phone' and use = 'home').value

# entry[].resource.item[].item[].item[].extension[].valueExpression.expression
%patient.telecom.where(system = 'phone' and use = 'mobile').value

# entry[].resource.item[].item[].item[].item[].extension[].valueExpression.expression
%EmergencyContactRepeat.name.select((family | (given | prefix).join(' ')).join(', ').where($this != '') | text)

# entry[].resource.item[].item[].item[].text
Registered for Closing the Gap PBS Co-payment Measure (CTG)

# entry[].resource.item[].item[].item[].item[].text
Are you responsible for caring for someone else?

# entry[].resource.item[].item[].item[].item[].text
Are name and contact details of other key providers (eg case workers, support services) up to date?

# entry[].resource.item[].item[].item[]._text.extension[].valueString
Mark section as complete

# entry[].resource.item[].item[].item[].text
What are the important things for you in this health check today?

# entry[].resource.item[].item[].item[].text
Is there anything you are worried about?

# entry[].resource.item[].item[].item[].text
Is there anything that you are worried about with your child's health or wellbeing?

# entry[].resource.item[].item[].item[].item[].text
Does your child have a Child Health Book?

# entry[].resource.item[].item[].item[].text
Do you have any specific health goals? Is there anything in particular about your health and wellbeing that you would like to improve?

# entry[].resource.item[].item[].item[].text
Health priorities, actions and follow-up

# entry[].resource.item[].item[].item[]._text.extension[].valueString
Mark section as complete

# entry[].resource.item[].item[].item[].text
Important: The patient record may not be updated with information entered here. Information intended for the patient record should be entered there first.

# entry[].resource.item[].item[].item[]._text.extension[].valueString
Important: The patient record may not be updated with information entered here. Information intended for the patient record should be entered there first.

# entry[].resource.item[].item[].item[].text
Medical history and current problems list

# entry[].resource.item[].item[].item[]._text.extension[].valueString
Medical history and current problems list

This list includes items from the clinical record. If you wish to enter additional diagnoses, either update the clinical record and repopulate this form or add them to the "New diagnoses list" below and later update the clinical record as required.

# entry[].resource.item[].item[].item[].text
Health priorities, actions and follow-up

# entry[].resource.item[].item[].item[]._text.extension[].valueString
Mark section as complete

# entry[].resource.item[].item[].text
Regular medications: check if still required, appropriate dose, understanding of medication and adherence

# entry[].resource.item[].item[].item[].extension[].valueString
Does your child take any regular medications?

# entry[].resource.item[].item[].item[].text
Does your child take any regular medications (prescribed, over-the-counter, traditional, complementary and alternative)?

# entry[].resource.item[].item[].item[].text
Do you take any regular medications (prescribed, over-the-counter, traditional, complementary and alternative)?

# entry[].resource.item[].item[].item[].text
Medication understanding and adherence has been checked with patient

# entry[].resource.item[].item[].item[].text
Health priorities, actions and follow-up

# entry[].resource.item[].item[].item[]._text.extension[].valueString
Mark section as complete

# entry[].resource.item[].item[].item[].text
Health priorities, actions and follow-up

# entry[].resource.item[].item[].item[]._text.extension[].valueString
Mark section as complete

# entry[].resource.item[].item[].item[].text
Provide relevant family history information

# entry[].resource.item[].item[].item[].extension[].valueString
Provide relevant family history information

# entry[].resource.item[].item[].item[].text
Provide relevant family history information (including diabetes, heart disease, cancer, mental health)

# entry[].resource.item[].item[].item[].text
Health priorities, actions and follow-up

# entry[].resource.item[].item[].item[]._text.extension[].valueString
Mark section as complete

# entry[].resource.item[].item[].item[].item[].text
Have there been any particular stressful life events that are impacting on you/your health lately?

# entry[].resource.item[].item[].item[].text
Social and emotional wellbeing assessment: consider tools such as Aboriginal and Torres Strait Islander Youth Social Emotional Wellbeing assessment question guide or HEEADSSS

# entry[].resource.item[].item[].item[].text
Consider conversation about social connection, which could include questions about sports/hobbies/clubs/other activities

# entry[].resource.item[].item[].item[].text
Health priorities, actions and follow-up

# entry[].resource.item[].item[].item[]._text.extension[].valueString
Mark section as complete

# entry[].resource.item[].item[].text
Social history: Information about family and child's living arrangements

# entry[].resource.item[].item[].item[].text
Who lives in your household? / Who does the child live with?

# entry[].resource.item[].item[].item[].item[].text
Have there been any stressful life events that would cause you or your child to be upset?

# entry[].resource.item[].item[].item[].text
If indicated, ask about depression and other mental health concerns

# entry[].resource.item[].item[].item[].text
Health priorities, actions and follow-up

# entry[].resource.item[].item[].item[]._text.extension[].valueString
Mark section as complete

# entry[].resource.item[].item[].item[].text
Health priorities, actions and follow-up

# entry[].resource.item[].item[].item[]._text.extension[].valueString
Mark section as complete

# entry[].resource.item[].item[].item[].text
Is there anything that you are worried about with your child's development?

# entry[].resource.item[].item[].item[].text
Is there anything that you are worried about with your child's learning?

# entry[].resource.item[].item[].item[].text
Is there anything that you are worried about with your child's behaviour?

# entry[].resource.item[].item[].item[].text
Is there anything that you are worried about with your child's sleep?

# entry[].resource.item[].item[].item[].text
What childcare/early learning centre/kindergarten does your child go to? How often?

# entry[].resource.item[].item[].item[].text
How often does your child miss childcare/early learning centre/kindergarten?

# entry[].resource.item[].item[].item[].text
Is there anything you are worried about at school?

# entry[].resource.item[].item[].item[].text
Is your child having any difficulties making friends?

# entry[].resource.item[].item[].item[].text
Are there any other concerns about your child's learning and development

# entry[].resource.item[].item[].item[].text
Health priorities, actions and follow-up

# entry[].resource.item[].item[].item[]._text.extension[].valueString
Mark section as complete

# entry[].resource.item[].item[].item[].item[].text
Details (occupation including occupational hazards, study, training, disability, etc)

# entry[].resource.item[].item[].item[].text
Health priorities, actions and follow-up

# entry[].resource.item[].item[].item[]._text.extension[].valueString
Mark section as complete

# entry[].resource.item[].item[].item[].item[].text
Details (occupation including occupational hazards, study, training, disability, etc)

# entry[].resource.item[].item[].item[].text
Health priorities, actions and follow-up

# entry[].resource.item[].item[].item[]._text.extension[].valueString
Mark section as complete

# entry[].resource.item[].item[].item[].extension[].valueString
Ask about depression and complete risk assessment

# entry[].resource.item[].item[].item[].text
If indicated, ask about depression (consider screening tools, eg aPHQ-9, K5 or K10) and complete risk assessment

# entry[].resource.item[].item[].item[].text
Explore other mental health concerns as indicated

# entry[].resource.item[].item[].item[].text
Health priorities, actions and follow-up

# entry[].resource.item[].item[].item[]._text.extension[].valueString
Mark section as complete

# entry[].resource.item[].item[].item[].text
Personal concerns about your memory or thinking

# entry[].resource.item[].item[].item[].item[].text
Do you have any worries about your memory or thinking?

# entry[].resource.item[].item[].item[].text
Family concerns about your memory or thinking

# entry[].resource.item[].item[].item[].item[].text
Does anyone in your family have any worries about your memory or thinking?

# entry[].resource.item[].item[].item[].text
If any concerns are raised and/or high risk for cognitive impairment identified, follow up with cognitive screening (eg clock test, GPCOG, KICA-Cog, MMSE)

# entry[].resource.item[].item[].item[].text
Health priorities, actions and follow-up

# entry[].resource.item[].item[].item[]._text.extension[].valueString
Mark section as complete

# entry[].resource.item[].item[].item[].extension[].valueString
Assessment of chronic disease associated with ageing

# entry[].resource.item[].item[].item[].text
For older people with chronic disease and/or conditions associated with ageing, consider assessing: Osteoporosis risk; Falls risk; Balance, coordination and mobility; Pain; Nutrition; Regularity of chronic disease management and review

# entry[].resource.item[].item[].item[]._text.extension[].valueString
For older people with chronic disease and/or conditions associated with ageing, consider assessing:

Osteoporosis risk

Falls risk

Balance, coordination and mobility

Pain

Nutrition

Regularity of chronic disease management and review

# entry[].resource.item[].item[].item[].text
Health priorities, actions and follow-up

# entry[].resource.item[].item[].item[]._text.extension[].valueString
Mark section as complete

# entry[].resource.item[].item[].item[].text
Important: The patient record may not be updated with information entered here. Information intended for the patient record should be entered there first.

# entry[].resource.item[].item[].item[]._text.extension[].valueString
Important: The patient record may not be updated with information entered here. Information intended for the patient record should be entered there first.

# entry[].resource.item[].item[].item[].text
Health priorities, actions and follow-up

# entry[].resource.item[].item[].item[]._text.extension[].valueString
Mark section as complete

# entry[].resource.item[].item[].item[].item[].text
Is there anything that you are worried about with your child's feeding/eating?

# entry[].resource.item[].item[].item[].item[].text
Is there anything that you are worried about with your child's eating?

# entry[].resource.item[].item[].item[].item[].text
Do you have any worries about your diet or weight?

# entry[].resource.item[].item[].item[].item[].text
Have you lost weight without trying to in the last three months?

# entry[].resource.item[].item[].item[].text
Document conversation about age-appropriate healthy eating, which could include: current diet; transition to solids; dietary recommendations re fruit and vegetable intake, iron-rich foods, avoiding sugary drinks

# entry[].resource.item[].item[].item[]._text.extension[].valueString
Document conversation about age-appropriate healthy eating, which could include:

current diet

transition to solids

dietary recommendations re fruit and vegetable intake, iron-rich foods, avoiding sugary drinks

# entry[].resource.item[].item[].item[].text
Document conversation about health eating which could include: current diet including food and drinks; recommendations about fruit and vegetable intake, water as the main drink, avoiding sugary drinks, avoiding highly processed foods (including supermarket-bought and take-away like KFC, Maccas, etc)

# entry[].resource.item[].item[].item[]._text.extension[].valueString
Document conversation about health eating which could include:

current diet including food and drinks

recommendations about fruit and vegetable intake, water as the main drink, avoiding sugary drinks, avoiding highly processed foods (including supermarket-bought and take-away like KFC, Maccas, etc)

# entry[].resource.item[].item[].item[].item[].text
Are there any issues about availability of food?

# entry[].resource.item[].item[].item[].text
Health priorities, actions and follow-up

# entry[].resource.item[].item[].item[]._text.extension[].valueString
Mark section as complete

# entry[].resource.item[].item[].item[].item[].text
Is there anything that you are worried about with your child's level of physical activity?

# entry[].resource.item[].item[].item[].item[].text
Is there anything that you are worried about with your child's level of screen time?

# entry[].resource.item[].item[].item[].text
Physical activity or screen time concerns

# entry[].resource.item[].item[].item[].item[].text
Do you have any worries about physical activity or screen time?

# entry[].resource.item[].item[].item[].text
Document conversation about age-appropriate recommendations re physical activity and screen time

# entry[].resource.item[].item[].item[].text
Document conversation about social connection, which could include questions about sports/hobbies/clubs/other activities

# entry[].resource.item[].item[].item[].text
Health priorities, actions and follow-up

# entry[].resource.item[].item[].item[]._text.extension[].valueString
Mark section as complete

# entry[].resource.item[].item[].item[].item[].text
Do you have any worries about physical activity?

# entry[].resource.item[].item[].item[].text
Document conversation about recommendations re physical activity

# entry[].resource.item[].item[].item[].text
Health priorities, actions and follow-up

# entry[].resource.item[].item[].item[]._text.extension[].valueString
Mark section as complete

# entry[].resource.item[].item[].text
Red flags early identification guide for children

# entry[].resource.item[].item[].item[].text
This is based on material from the The State of Queensland, Red flags early identification guide (for children aged birth to five years). 2nd edn. South Brisbane, Qld: Child Development Program, Queensland Health, 2016. Available at www.childrens.health.qld.gov.au/wp-content/uploads/PDF/red-flags-a3.pdf [Accessed 2 December 2019]. © Developed by the Child Development Program in conjunction with Brisbane North Primary Health Network. Updated: July 2016.

# entry[].resource.item[].item[].item[].item[].answerOption[].valueString
Not sharing enjoyment with others using eye contact or facial expression

# entry[].resource.item[].item[].item[].item[].answerOption[].valueString
Does not pay early turn taking games (eg peekaboo, rolling a ball)

# entry[].resource.item[].item[].item[].item[].answerOption[].valueString
Lacks interest in playing and interacting with others

# entry[].resource.item[].item[].item[].item[].answerOption[].valueString
When playing with toys tends to bang, drop, or throw them rather than use them for their purpose (eg Cuddle doll, build blocks)

# entry[].resource.item[].item[].item[].item[].answerOption[].valueString
No interest in pretend play or interacting with other children

# entry[].resource.item[].item[].item[].item[].answerOption[].valueString
Difficulty noticing and understanding feelings in themselves and others (eg happy, sad)

# entry[].resource.item[].item[].item[].item[].answerOption[].valueString
Unwilling or unable to play cooperatively

# entry[].resource.item[].item[].item[].item[].answerOption[].valueString
Not using gestures (eg pointing, showing, waving)

# entry[].resource.item[].item[].item[].item[].answerOption[].valueString
Not using two part babble (eg bubu, dada)

# entry[].resource.item[].item[].item[].item[].answerOption[].valueString
No babbled phrases that sound like talking

# entry[].resource.item[].item[].item[].item[].answerOption[].valueString
No response to familiar words (eg bottle, daddy)

# entry[].resource.item[].item[].item[].item[].answerOption[].valueString
Cannot understand short requests (eg 'Where is the ball?')

# entry[].resource.item[].item[].item[].item[].answerOption[].valueString
Not putting words together (eg 'push car')

# entry[].resource.item[].item[].item[].item[].answerOption[].valueString
Speech is difficult for familiar people to understand

# entry[].resource.item[].item[].item[].item[].answerOption[].valueString
Not using simple sentences (eg big car go)

# entry[].resource.item[].item[].item[].item[].answerOption[].valueString
Not able to follow directions with two steps (eg 'Put your bag away and then go play')

# entry[].resource.item[].item[].item[].item[].answerOption[].valueString
Difficulty telling a parent what is wrong

# entry[].resource.item[].item[].item[].item[].answerOption[].valueString
Not able to answer questions in a simple conversation (eg What's your name? Who is your family?)

# entry[].resource.item[].item[].item[].item[].answerOption[].valueString
Not reaching for and holding (grasping) toys

# entry[].resource.item[].item[].item[].item[].answerOption[].valueString
Does not explore objects with hand and mouth

# entry[].resource.item[].item[].item[].item[].answerOption[].valueString
Does not bring hands together at midline

# entry[].resource.item[].item[].item[].item[].answerOption[].valueString
Cannot move toy from one hand to another

# entry[].resource.item[].item[].item[].item[].answerOption[].valueString
Does not feed self finger foods or hold own bottle/cup

# entry[].resource.item[].item[].item[].item[].answerOption[].valueString
Unable to pick up small items using index finger and thumb

# entry[].resource.item[].item[].item[].item[].answerOption[].valueString
Does not attempt to stack blocks after demonstration

# entry[].resource.item[].item[].item[].item[].answerOption[].valueString
Does not attempt to feed self using a spoon and/or help with dressing

# entry[].resource.item[].item[].item[].item[].answerOption[].valueString
Does not attempt everyday care skills (such as feeding or dressing)

# entry[].resource.item[].item[].item[].item[].answerOption[].valueString
Difficulty in manipulating small objects (eg threading beads)

# entry[].resource.item[].item[].item[].item[].answerOption[].valueString
Concerns from teacher about school readiness

# entry[].resource.item[].item[].item[].item[].answerOption[].valueString
Not independently able to complete everyday routines such as feeding and dressing

# entry[].resource.item[].item[].item[].item[].answerOption[].valueString
Cannot draw simple pictures (eg stick person)

# entry[].resource.item[].item[].item[].item[].answerOption[].valueString
Not holding head and shoulders up with good control when lying on tummy

# entry[].resource.item[].item[].item[].item[].answerOption[].valueString
Not holding head with good control in supported sitting

# entry[].resource.item[].item[].item[].item[].answerOption[].valueString
Not sitting independently/ without support

# entry[].resource.item[].item[].item[].item[].answerOption[].valueString
Not taking weight on legs when held in standing

# entry[].resource.item[].item[].item[].item[].answerOption[].valueString
No form of independent mobility (eg crawling, commando crawling, bottom shuffle)

# entry[].resource.item[].item[].item[].item[].answerOption[].valueString
Not pulling to stand independently and holding on for support

# entry[].resource.item[].item[].item[].item[].answerOption[].valueString
Not able to walk up and down stairs holding on

# entry[].resource.item[].item[].item[].item[].answerOption[].valueString
Not able to walk up and down stairs independently

# entry[].resource.item[].item[].item[].item[].answerOption[].valueString
Not able to walk, run, climb, jump and uses stairs confidently

# entry[].resource.item[].item[].item[].item[].answerOption[].valueString
Not able to walk, run, climb, jump and use stairs confidently

# entry[].resource.item[].item[].item[].item[].answerOption[].valueString
Not able to hop five times on one leg and stand on one leg for five seconds

# entry[].resource.item[].item[].item[].item[].answerOption[].valueString
Lack of response to sound or visual stimuli

# entry[].resource.item[].item[].item[].item[].answerOption[].valueString
Poor interaction with adults or other children

# entry[].resource.item[].item[].item[].item[].answerOption[].valueString
Differences between right and left sides of body in strength, movement or tone

# entry[].resource.item[].item[].item[].item[].answerOption[].valueString
Marked low tone (floppy) or high tone (stiff and tense) and significantly impacting on development and functional motor skills

# entry[].resource.item[].item[].item[]._text.extension[].valueString
Mark section as complete

# entry[].resource.item[].item[].item[].text
Important: The patient record may not be updated with information entered here. Information intended for the patient record should be entered there first.

# entry[].resource.item[].item[].item[]._text.extension[].valueString
Important: The patient record may not be updated with information entered here. Information intended for the patient record should be entered there first.

# entry[].resource.item[].item[].item[].item[].text
Quantity and frequency of: alcohol; caffeine (coffee, soft drinks, iced coffee); cannabis/yarndi/gunja; other substance use: IVDU, methamphetamine, opiates, solvents, other

# entry[].resource.item[].item[].item[].item[]._text.extension[].valueString
Quantity and frequency of:

alcohol

caffeine (coffee, soft drinks, iced coffee)

cannabis/yarndi/gunja

other substance use: IVDU, methamphetamine, opiates, solvents, other

# entry[].resource.item[].item[].item[].text
Health priorities, actions and follow-up

# entry[].resource.item[].item[].item[]._text.extension[].valueString
Mark section as complete

# entry[].resource.item[].item[].item[].item[].text
Have you or someone close to you ever had issues with gambling?

# entry[].resource.item[].item[].item[].text
Health priorities, actions and follow-up

# entry[].resource.item[].item[].item[]._text.extension[].valueString
Mark section as complete

# entry[].resource.item[].item[].text
Sexual health (sexual activity, contraception, safe sex/protection, sexual orientation, gender identity, pressure to have sex, STIs)

# entry[].resource.item[].item[].item[].item[].text
Is there anything that you are worried about in relation to puberty/your sexual health?

# entry[].resource.item[].item[].item[].extension[].valueString
Consider discussing items relevant to age/sex/gender

# entry[].resource.item[].item[].item[].text
Consider discussing as relevant to age/sex/gender: menstruation (including risk of anaemia); current sexual activity; contraception; safe sex practice (eg use of condoms); sexually transmitted infection symptoms and screening; blood-borne virus screening

# entry[].resource.item[].item[].item[]._text.extension[].valueString
Consider discussing as relevant to age/sex/gender:

menstruation (including risk of anaemia)

current sexual activity

contraception

safe sex practice (eg use of condoms)

sexually transmitted infection symptoms and screening

blood-borne virus screening

# entry[].resource.item[].item[].item[].text
Health priorities, actions and follow-up

# entry[].resource.item[].item[].item[]._text.extension[].valueString
Mark section as complete

# entry[].resource.item[].item[].item[].item[].text
Is there anything that you are worried about in relation to your sexual health?

# entry[].resource.item[].item[].item[].extension[].valueString
Consider discussing items relevant to age/sex/gender

# entry[].resource.item[].item[].item[].text
Consider discussing as relevant to age/sex/gender: contraception; menstruation; sexually transmitted infection symptoms and screening; blood-borne virus screening; continence; menopause; erectile dysfunction

# entry[].resource.item[].item[].item[]._text.extension[].valueString
Consider discussing as relevant to age/sex/gender:

contraception

menstruation

sexually transmitted infection symptoms and screening

blood-borne virus screening

continence

menopause

erectile dysfunction

# entry[].resource.item[].item[].item[].text
Health priorities, actions and follow-up

# entry[].resource.item[].item[].item[]._text.extension[].valueString
Mark section as complete

# entry[].resource.item[].item[].item[].item[].text
Consider asking when appropriate: Is there anything that you are worried about in relation to your sexual health?

# entry[].resource.item[].item[].item[].item[].text
Do you have problems with urine leaking?

# entry[].resource.item[].item[].item[].extension[].valueString
Consider discussing items relevant to age/sex/gender

# entry[].resource.item[].item[].item[].text
Consider discussing as relevant to age/sex/gender: menopause; erectile dysfunction; prostatic symptoms

# entry[].resource.item[].item[].item[]._text.extension[].valueString
Consider discussing as relevant to age/sex/gender:

menopause

erectile dysfunction

prostatic symptoms

# entry[].resource.item[].item[].item[].text
Health priorities, actions and follow-up

# entry[].resource.item[].item[].item[]._text.extension[].valueString
Mark section as complete

# entry[].resource.item[].item[].item[].item[].text
Is there anything that you are worried about with your child's vision?

# entry[].resource.item[].item[].item[].item[].text
Is there anything that you are worried about with your vision?

# entry[].resource.item[].item[].item[].text
Health priorities, actions and follow-up

# entry[].resource.item[].item[].item[]._text.extension[].valueString
Mark section as complete

# entry[].resource.item[].item[].item[].item[].text
Is there anything that you are worried about with your child's listening?

# entry[].resource.item[].item[].item[].item[].text
Is there anything you are worried about with your child's language/talking?

# entry[].resource.item[].item[].item[].item[].text
Do you notice snoring/noisy breathing at night/while your child is sleeping?

# entry[].resource.item[].item[].item[].item[].text
Is there anything that you are worried about with your hearing?

# entry[].resource.item[].item[].item[].item[].item[].text
Video otoscopy procedure recommended where possible as it allows for parental education and for images to be saved for tracking over time

# entry[].resource.item[].item[].item[].text
Health priorities, actions and follow-up

# entry[].resource.item[].item[].item[]._text.extension[].valueString
Mark section as complete

# entry[].resource.item[].item[].item[].item[].text
Is there anything that you are worried about with your child's teeth or mouth?

# entry[].resource.item[].item[].item[].item[].text
Is there anything that you are worried about with your teeth?

# entry[].resource.item[].item[].item[].item[].text
Document conversation about oral health and care of teeth

# entry[].resource.item[].item[].item[].text
Health priorities, actions and follow-up

# entry[].resource.item[].item[].item[]._text.extension[].valueString
Mark section as complete

# entry[].resource.item[].item[].item[].item[].text
Is there anything that you are worried about with your skin?

# entry[].resource.item[].item[].item[].text
Document conversation about sun protection as appropriate (ie sunscreen, hats, shade).

# entry[].resource.item[].item[].item[].text
Health priorities, actions and follow-up

# entry[].resource.item[].item[].item[]._text.extension[].valueString
Mark section as complete

# entry[].resource.item[].item[].item[].text
Check Child Health Record/Book and Australian Immunisation Register

# entry[].resource.item[].item[].item[].text
Eligibility for funded vaccines may vary across jurisdictions

# entry[].resource.item[].item[].item[].text
Check recommended primary vaccinations completed and provide catch-up if required

# entry[].resource.item[].item[].item[].text
Immunisations up to date and recorded on Australian Immunisation Register (as per Australian immunisation handbook)?

# entry[].resource.item[].item[].item[].item[].text
Vaccines recorded on Australian Immunisation Register?

# entry[].resource.item[].item[].item[].text
Health priorities, actions and follow-up

# entry[].resource.item[].item[].item[]._text.extension[].valueString
Mark section as complete

# entry[].resource.item[].item[].item[].text
Important: The patient record may not be updated with information entered here. Information intended for the patient record should be entered there first.

# entry[].resource.item[].item[].item[]._text.extension[].valueString
Important: The patient record may not be updated with information entered here. Information intended for the patient record should be entered there first.

# entry[].resource.item[].item[].item[].text
Growth measures recorded on Centers for Disease Control and Prevention (CDC) and World Health Organization (WHO) growth charts for centile and tracking overtime

# entry[].resource.item[].item[].item[].text
Newborn examination (if indicated, infant aged <=6 weeks)

# entry[].resource.item[].item[].item[].text
Haemoglobin (children at risk of iron deficiency anaemia)

# entry[].resource.item[].item[].item[].text
Health priorities, actions and follow-up

# entry[].resource.item[].item[].item[]._text.extension[].valueString
Mark section as complete

# entry[].resource.item[].item[].text
Absolute cardiovascular disease risk calculation

# entry[].resource.item[].item[].item[].text
Important: The patient record may not be updated with information entered here. Information intended for the patient record should be entered there.

# entry[].resource.item[].item[].item[]._text.extension[].valueString
Important: The patient record may not be updated with information entered here. Information intended for the patient record should be entered there first.

# entry[].resource.item[].item[].item[]._text.extension[].valueString
The Australian guideline for assessing and managing cardiovascular disease risk recommends the use of the online Australian CVD risk calculator.

The items included in this section are a subset of variables that can be used as inputs for the online calculator.

The final CVD risk result can be entered in the item at the bottom of this section.

# entry[].resource.item[].item[].item[].text
Health priorities, actions and follow-up

# entry[].resource.item[].item[].item[]._text.extension[].valueString
Mark section as complete

# entry[].resource.item[].item[].item[].text
Full blood count, HbA1c or blood glucose level, serum lipids, Kidney function including eGFR, Liver function tests, ACR

# entry[].resource.item[].item[].item[].text
Chlamydia, gonorrhoea: <=30, first void urine (male and female) and/or endocervical swab or self-administered vaginal swab (female) or throat and anal swab (men who have sex with men [MSM])

# entry[].resource.item[].item[].item[].text
Syphilis (endemic areas, MSM, others at high risk)

# entry[].resource.item[].item[].item[].text
Trichomoniasis (<=30, male and female, remote areas and other endemic areas, first void urine and/or endocervical swab or self-administered vaginal swab)

# entry[].resource.item[].item[].item[].text
Blood-borne virus screening: HBV if status not known/not recorded on file, HCV if risk factors, HIV if risk factors

# entry[].resource.item[].item[].item[].text
Health priorities, actions and follow-up

# entry[].resource.item[].item[].item[]._text.extension[].valueString
Mark section as complete

# entry[].resource.item[].item[].text
Health Priorities, Actions And Follow-Up Summary

# entry[].resource.item[].item[].item[].text
The following information is a read-only collection of the 'Health priorities, actions and follow-up' sections entered in the previous tabs. Only sections where previous information entered will be displayed here.

# entry[].resource.item[].item[].item[].extension[].valueExpression.description
Social and emotional wellbeing calculation

# entry[].resource.item[].item[].item[].extension[].valueExpression.description
Learning and work for adolescents and adults calculation

# entry[].resource.item[].item[].item[].extension[].valueExpression.description
Chronic disease associated with ageing calculation

# entry[].resource.item[].item[].item[].extension[].valueExpression.description
Participation in screening programs calculation

# entry[].resource.item[].item[].item[].extension[].valueExpression.description
Physical activity and screen time calculation

# entry[].resource.item[].item[].item[].extension[].valueExpression.description
Physical activity and screen time calculation

# entry[].resource.item[].item[].item[].extension[].valueExpression.description
Substance use, including tobacco calculation

# entry[].resource.item[].item[].item[].text
Patient priorities and goals: What does the parent/carer say are the important things that have come out of this health check?

# entry[].resource.item[].item[].item[].text
Patient priorities and goals: What does the parent/carer and child say are the important things that have come out of this health check?

# entry[].resource.item[].item[].item[].text
Patient priorities and goals: What does the patient say are the important things that have come out of this health check?

# entry[].resource.item[].item[].item[].text
Brief intervention: advice and information provided during health check

# entry[].resource.item[].item[].item[].answerOption[].valueString
Environmental exposure to harmful elements eg tobacco smoke

# entry[].resource.item[].item[].item[].answerOption[].valueString
Developmental milestones - including language and hearing

# entry[].resource.item[].item[].item[].text
Brief intervention: advice and information provided during health check

# entry[].resource.item[].item[].item[].answerOption[].valueString
Environmental exposure to harmful elements (e.g. tobacco smoke)

# entry[].resource.item[].item[].item[].text
Brief intervention: advice and information provided during health check

# entry[].resource.item[].item[].item[].text
Brief intervention: advice and information provided during health check

# entry[].resource.item[].item[].item[].text
Brief intervention: advice and information provided during health check

# entry[].resource.item[].item[].item[].text
Care provided as part of the health check (eg immunisations, medication review, investigations requested)

# entry[].resource.item[].item[].item[].text
Identified needs and plan (including new diagnoses)

# entry[].resource.item[].item[].item[].item[].text
Consider what follow-up appointments can be made at the time of the health check.

# entry[].resource.item[].item[].item[].item[].text
Reminder: MBS follow up items for clients at risk of or with chronic disease are available to support follow-up of health checks

# entry[].resource.item[].item[].item[].item[].item[].answerOption[].valueString
Aboriginal and/or Torres Strait Islander Health Worker follow-up

# entry[].resource.item[].item[].item[].item[].item[].answerOption[].valueString
Aboriginal and/or Torres Strait Islander Health Practitioner follow-up

# entry[].resource.item[].item[].item[].item[].item[].answerOption[].valueString
Aboriginal and/or Torres Strait Islander Health Worker follow-up

# entry[].resource.item[].item[].item[].item[].item[].answerOption[].valueString
Aboriginal and/or Torres Strait Islander Health Practitioner follow-up

# entry[].resource.item[].item[].item[].item[].item[].answerOption[].valueString
Aboriginal and/or Torres Strait Islander Health Worker follow-up

# entry[].resource.item[].item[].item[].item[].item[].answerOption[].valueString
Aboriginal and/or Torres Strait Islander Health Practitioner follow-up

# entry[].resource.item[].item[].item[].item[].item[].answerOption[].valueString
Social and emotional wellbeing/mental health

# entry[].resource.item[].item[].item[].item[].item[].answerOption[].valueString
Aboriginal and/or Torres Strait Islander Health Worker follow-up

# entry[].resource.item[].item[].item[].item[].item[].answerOption[].valueString
Aboriginal and/or Torres Strait Islander Health Practitioner follow-up

# entry[].resource.item[].item[].item[].item[].item[].answerOption[].valueString
Social and emotional wellbeing/mental health

# entry[].resource.item[].item[].item[].item[].item[].answerOption[].valueString
Aboriginal and/or Torres Strait Islander Health Worker follow-up

# entry[].resource.item[].item[].item[].item[].item[].answerOption[].valueString
Aboriginal and/or Torres Strait Islander Health Practitioner follow-up

# entry[].resource.item[].item[].item[].item[].item[].answerOption[].valueString
Social and emotional wellbeing/mental health

# entry[].resource.item[].item[].item[].text
Recalls entered (eg clinical review, investigations, influenza vaccination, asthma plan/cycle of care, diabetes cycle of care, care plan review, cervical screening, investigations)

# entry[].resource.item[].item[].item[].text
A copy of this health check has been offerered - including details of follow-up and future appointments

# entry[].resource.item[].item[].item[].answerOption[].valueString
Not offered. Plan to follow up and offer at a later date

# entry[].resource.item[].item[].item[]._text.extension[].valueString
Mark section as complete